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Oregon 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
$64.57 / $64.57 / $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
$147.91 / $147.91 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $74.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $43.65 / $46.77
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $64.57 / $144.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $64.57 / $74.13
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $34.67 / $34.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $87.10 / $186.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $74.13 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $79.43 / $79.43