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Louisiana 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
$127.55 / $127.55 / $127.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.54 / $127.55 / $423.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.15 / $136.15 / $204.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.15 / $136.15 / $138.87
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.53 / $84.53 / $84.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.47 / $134.47 / $134.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.47 / $134.47 / $134.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.30 / $134.99 / $144.07