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North Carolina 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
$84.55 / $179.55 / $243.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.20 / $127.54 / $204.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.84 / $101.84 / $132.07
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 / $143.32
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.54 / $122.47 / $157.65
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.65 / $89.65 / $89.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.69 / $222.73 / $222.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.06 / $134.99 / $186.09
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.15 / $136.15 / $286.64