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North Carolina 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 / $73.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.15 / $67.16 / $73.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.67 / $54.67 / $69.39
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 / $79.01
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.16 / $71.19 / $86.91
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.22 / $36.22 / $36.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.09 / $76.00 / $79.31
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.06 / $100.00 / $158.02