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Arizona rates for HCPCS 90700

Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use

Facilitymedian $85 · 10th–90th $23–$2000%5%10th90th$85Professionalmedian $40 · 10th–90th $31–$1020%20%10th90th$40$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $34.67 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $39.81 / $102.33
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $109.65 / $199.53
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $56.23 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $56.23 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $34.67
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $34.67 / $44.67
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $35.48 / $36.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $58.88 / $58.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $36.31 / $37.15