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North Dakota 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 / $73.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.66 / $82.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.23 / $67.16 / $201.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.78 / $72.70 / $79.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.09 / $72.70 / $74.68