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Kentucky 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
$67.16 / $67.16 / $84.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.98 / $84.26 / $84.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.29 / $67.41 / $67.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.75 / $15.51 / $26.55
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.54 / $15.49 / $22.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.13 / $74.02 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $74.02 / $100.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.09 / $76.00 / $79.01