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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
$31.20 / $31.20 / $31.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.20 / $31.20 / $65.27
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.99 / $86.54 / $818.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $29.99 / $36.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.61 / $44.74 / $95.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.14 / $33.14 / $33.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.14 / $33.14 / $33.14
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.93 / $17.57 / $35.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.33 / $29.80 / $63.18
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.17 / $37.17 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $33.89 / $44.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $32.99 / $45.25