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Alaska rates for HCPCS 90702

Diphtheria and tetanus toxoids adsorbed (DT) when administered to individuals younger than 7 years, for intramuscular use

Facilitymedian $110 · 10th–90th $100–$1740%50%10th90th$110Professionalmedian $68 · 10th–90th $68–$790%50%90th$68$20.0$50.0$100.0

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $74.13
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $144.54
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $67.61 / $100.00
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $173.78
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $144.54
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $60.26 / $74.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $67.61 / $79.43