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Virginia 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
$31.20 / $52.39 / $111.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.19 / $31.20 / $53.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.18 / $30.18 / $30.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.14 / $33.14 / $33.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.64 / $33.14 / $33.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.61 / $30.85 / $35.70
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.66 / $35.06 / $47.52
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.71 / $33.31 / $43.56
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.71 / $33.31 / $43.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.99 / $35.70 / $35.99