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West Virginia 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 / $189.50 / $189.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.54 / $127.55 / $140.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.81 / $55.57 / $80.72
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.77 / $124.77 / $124.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.82 / $134.47 / $134.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.47 / $134.47 / $173.58
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.53 / $121.53 / $343.70
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.54 / $165.54 / $165.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.06 / $134.99 / $192.10