go back

Maryland 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 / $616.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.00 / $127.54 / $145.41
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.32 / $143.32 / $143.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.47 / $134.47 / $134.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.30 / $96.91 / $121.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.06 / $134.99 / $144.07
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.63 / $117.63 / $117.63