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Indiana 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
$31.20 / $69.12 / $133.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.70 / $31.20 / $80.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.03 / $59.18 / $88.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $35.00 / $49.49
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.09 / $19.09 / $24.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.09 / $19.09 / $21.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.14 / $33.14 / $33.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.27 / $33.14 / $88.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.99 / $32.69 / $35.99