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South 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
$30.90 / $43.65 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.90 / $57.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $28.18 / $29.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $30.90 / $33.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $38.02 / $43.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $34.67 / $41.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $30.20 / $32.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $35.48 / $37.15