go back

North Carolina 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
$26.28 / $34.32 / $86.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.53 / $35.02 / $57.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.73 / $29.73 / $32.99
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 / $35.06
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.53 / $31.30 / $38.57
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.70 / $24.70 / $24.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.99 / $35.70 / $39.59
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.17 / $100.00 / $100.00