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Nebraska 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
$67.61 / $67.61 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $114.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $36.31 / $257.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $35.48 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $74.13 / $83.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $128.82 / $295.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $72.44 / $79.43
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $39.81 / $39.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $27.54 / $44.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $72.44 / $79.43