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Michigan 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
$29.53 / $38.15 / $82.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.35 / $37.94 / $64.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.90 / $64.67 / $122.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.11 / $28.11 / $29.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.03 / $33.14 / $33.14
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.16 / $31.55 / $65.03
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.53 / $34.18 / $59.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.99 / $35.70 / $37.08