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Nebraska 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 / $184.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.80 / $127.55 / $189.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.43 / $182.63 / $371.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.04 / $57.95 / $57.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.38 / $134.47 / $142.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.81 / $242.35 / $512.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.06 / $132.07 / $144.07
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.80 / $111.02 / $133.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.50 / $111.02 / $147.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.06 / $132.07 / $141.66