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Utah 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 / $91.20 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $30.90 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $32.36
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $39.81 / $39.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $36.31 / $36.31