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Colorado 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
$67.16 / $67.16 / $67.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.15 / $67.16 / $74.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.60 / $119.62 / $212.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.01 / $79.01 / $79.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.02 / $74.02 / $74.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.02 / $74.02 / $74.02
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.39 / $67.16 / $96.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.00 / $61.00 / $61.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.46 / $50.46 / $50.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.09 / $77.98 / $79.31