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Arizona rates for HCPCS 90700

Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.80 / $28.95 / $434.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.19 / $39.46 / $92.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.52 / $104.28 / $165.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.28 / $28.05 / $185.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.14 / $33.14 / $33.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.14 / $33.14 / $33.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.20 / $34.78 / $44.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.89 / $35.70 / $35.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.89 / $35.70 / $35.99