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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
$67.16 / $67.16 / $97.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.16 / $67.16 / $112.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.05 / $36.53 / $256.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.70 / $36.15 / $36.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $74.02 / $82.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.01 / $127.60 / $296.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.09 / $72.70 / $79.31
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.04 / $32.15 / $50.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.04 / $34.25 / $50.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.09 / $72.70 / $79.01