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Wisconsin 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 / $93.29 / $174.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.20 / $43.20 / $101.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.18 / $30.18 / $43.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.40 / $41.40 / $41.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.14 / $68.80 / $98.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.74 / $39.96 / $45.41
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.77 / $35.06 / $45.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.77 / $35.06 / $156.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.99 / $33.89 / $47.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.77 / $35.06 / $45.62
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.71 / $50.69 / $70.40
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.88 / $127.88 / $127.88
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.14 / $33.14 / $33.14
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.25 / $40.25 / $40.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.99 / $33.89 / $49.18