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Indiana rates for HCPCS 90700

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

Facilitymedian $46 · 10th–90th $31–$850%20%10th90th$46Professionalmedian $31 · 10th–90th $26–$850%20%40%10th90th$31$20.0$50.0$100.0$200.0$500.0

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
$30.90 / $42.66 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $30.90 / $89.13
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $24.55 / $28.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $45.71 / $70.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $34.67 / $60.26
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.50 / $34.67
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.50 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $95.50 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $34.67
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $58.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $34.67 / $40.74