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Wyoming 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 / $143.31 / $214.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.82 / $143.32 / $143.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.47 / $134.47 / $134.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.07 / $135.66 / $144.07