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Missouri 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
$30.90 / $45.71 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $33.88 / $54.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $28.18 / $30.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $50.12 / $77.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $34.67 / $34.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $33.11 / $33.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $37.15 / $128.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $35.48 / $36.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $47.86 / $56.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $35.48 / $37.15