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Minnesota 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 / $31.20 / $70.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.35 / $36.90 / $64.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $33.47 / $65.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.84 / $29.80 / $29.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.45 / $91.97 / $111.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.16 / $34.72 / $36.67
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.10 / $83.93 / $105.34
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.88 / $28.88 / $40.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.17 / $33.27 / $52.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.57 / $32.99 / $39.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.49 / $32.99 / $39.83