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West 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
$35.06 / $52.64 / $74.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.19 / $31.20 / $55.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.84 / $18.43 / $26.76
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.36 / $41.36 / $41.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.14 / $33.14 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.14 / $33.14 / $69.77
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.88 / $42.46 / $58.32
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.95 / $39.95 / $40.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.99 / $35.70 / $38.29