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Idaho 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
$37.11 / $67.03 / $172.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.19 / $36.47 / $64.34
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.20 / $31.20 / $44.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.59 / $29.59 / $36.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.56 / $38.56 / $39.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.89 / $35.99 / $41.99