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New Mexico 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
$79.01 / $79.01 / $79.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.15 / $71.86 / $79.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.98 / $28.54 / $38.04
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 / $74.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $33.47 / $74.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.02 / $74.02 / $74.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.68 / $79.01 / $79.31