go back

Tennessee 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 / $110.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.15 / $67.16 / $67.16
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.06 / $158.02 / $296.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.09 / $74.68 / $79.01