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Oregon 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
$107.15 / $125.89 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $134.90 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $269.15 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $144.54 / $144.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $162.18 / $173.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $131.83 / $275.42
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $141.25 / $338.84
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $128.82 / $128.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $158.49 / $354.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $93.33 / $151.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $147.91 / $154.88