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Massachusetts rates for HCPCS 90700

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $30.90 / $31.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $37.15 / $109.65
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $87.10 / $104.71
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $28.84 / $38.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $34.67 / $69.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $17.38 / $35.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $30.90 / $56.23
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $87.10 / $104.71
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $28.84 / $38.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $58.88 / $77.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $31.62 / $45.71