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Idaho 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
Professional
Modifier
Low / Median / High Price
$67.16 / $67.16 / $73.87
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.82 / $67.16 / $96.04
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.71 / $28.71 / $28.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.68 / $79.31 / $79.31