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Ohio 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
$33.44 / $69.48 / $93.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.19 / $41.25 / $100.80
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.05 / $28.05 / $28.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.39 / $69.23 / $192.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.18 / $32.17 / $58.51
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.86 / $18.86 / $28.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $18.86 / $25.46
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 / $50.76
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.53 / $21.55 / $87.62
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.14 / $33.14 / $54.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.49 / $33.89 / $36.29