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New Hampshire rates for HCPCS 90698

Dtap-Ipv/Hib Vaccine For Intramuscular Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.55 / $127.55 / $142.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.54 / $127.55 / $127.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.53 / $180.09 / $494.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.46 / $122.46 / $122.46
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.33 / $202.83 / $376.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.06 / $134.99 / $138.07
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.66 / $125.75 / $189.91