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Arkansas rates for HCPCS 90702

Diphtheria and tetanus toxoids adsorbed (DT) when administered to individuals younger than 7 years, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.44 / $67.16 / $100.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.16 / $67.16 / $73.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.01 / $63.01 / $63.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.01 / $63.01 / $63.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.23 / $74.02 / $74.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.02 / $74.02 / $74.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.79 / $66.09 / $79.01