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New Mexico 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
$35.06 / $35.06 / $35.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.19 / $33.70 / $44.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.28 / $19.04 / $31.64
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
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.96 / $33.14 / $42.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.14 / $33.14 / $33.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.89 / $35.70 / $35.99