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New Hampshire 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 / $44.15 / $44.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.19 / $31.20 / $31.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.36 / $44.39 / $121.79
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
$40.44 / $49.62 / $91.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.99 / $29.99 / $35.70
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.28 / $31.27 / $47.96