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Pennsylvania 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
$20.92 / $31.20 / $126.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.01 / $40.56 / $92.80
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.62 / $36.02 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.22 / $34.22 / $34.22
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
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.01 / $65.37 / $129.40
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.06 / $31.20 / $126.18
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.35 / $40.15 / $92.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.14 / $33.14 / $33.14
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.14 / $33.14 / $33.14
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.08 / $36.08 / $36.08
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.08 / $36.08 / $36.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.99 / $35.70 / $44.63