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Minnesota 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 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $128.82 / $208.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $245.47 / $245.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $97.72 / $123.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $380.19 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $138.04 / $144.54
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $363.08 / $426.58
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $138.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $144.54 / $213.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $154.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $144.54 / $194.98