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North Dakota 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
$127.54 / $127.54 / $127.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.70 / $129.51 / $131.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.38 / $115.52 / $142.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.65 / $127.55 / $382.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.38 / $132.07 / $134.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.06 / $132.07 / $135.66