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Oklahoma 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
$72.53 / $72.53 / $72.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.53 / $72.53 / $73.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.02 / $74.02 / $74.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.07 / $74.02 / $74.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.18 / $75.31 / $296.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.79 / $77.98 / $79.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.79 / $77.98 / $79.31