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New Jersey 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 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $74.13 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $74.13 / $74.13
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $11,481.54 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $23.99 / $23.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $72.44 / $79.43