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Texas 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 / $46.62 / $248.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.20 / $35.06 / $45.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.66 / $70.01 / $138.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.61 / $34.61 / $34.61
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.32 / $30.73 / $126.89
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.32 / $20.76 / $33.52
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.51 / $30.51 / $30.51
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $100.00 / $127.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.66 / $35.06 / $50.14
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.55 / $27.19 / $40.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.41 / $33.14 / $50.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.15 / $33.14 / $33.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.49 / $35.39 / $35.70
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.38 / $29.38 / $39.65