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Massachusetts 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 / $125.89 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $125.89 / $436.52
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $346.74 / $426.58
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $131.83 / $162.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $144.54 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $144.54 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $144.54 / $144.54
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $107.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $131.83 / $239.88
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $346.74 / $426.58
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $131.83 / $162.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $223.87 / $288.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $147.91 / $194.98