go back

Maine rates for HCPCS 90700

Diphth Tetanus Tox Acell Pertussis Vacc<7 Yr Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.19 / $88.76 / $249.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.19 / $31.19 / $34.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.49 / $91.49 / $91.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.18 / $30.18 / $30.18
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.80 / $34.47 / $52.89
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.19 / $88.76 / $249.99
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.19 / $31.19 / $45.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.99 / $32.63 / $46.37