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Illinois rates for HCPCS 90703

Tetanus Toxoid Adsorbed Intramuscular

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $79.43 / $162.18
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $199.53 / $346.74
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00