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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
$127.55 / $127.55 / $127.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.19 / $140.30 / $305.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $140.19 / $268.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.09 / $91.37 / $116.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.70 / $364.30 / $443.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.52 / $137.56 / $145.26
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.60 / $332.45 / $417.24
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.38 / $114.38 / $160.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.79 / $143.32 / $215.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.38 / $132.07 / $157.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.86 / $132.07 / $159.44