go back

Utah rates for HCPCS 90700

Diphth Tetanus Tox Acell Pertussis Vacc<7 Yr Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.20 / $67.17 / $97.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.53 / $31.20 / $50.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.14 / $33.14 / $33.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.49 / $33.89 / $35.99