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Missouri 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 / $143.32 / $157.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.00 / $127.54 / $140.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.87 / $204.10 / $316.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.68 / $136.68 / $136.68
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.55 / $139.44 / $512.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.06 / $134.99 / $145.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.06 / $134.99 / $145.27