go back

Kentucky rates for HCPCS 90698

Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $128.82 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $125.89 / $162.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $107.15 / $158.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $144.54 / $199.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $131.83 / $131.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $87.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $56.23 / $70.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $229.09 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $645.65 / $645.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $147.91 / $154.88