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Rhode Island 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
Professional
Modifier
Low / Median / High Price
$127.54 / $127.55 / $127.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.50
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.06 / $120.06 / $134.99