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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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.16 / $73.87 / $100.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.02 / $74.02 / $74.02
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.06 / $144.06 / $144.06
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.30 / $21.85
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.61 / $110.61 / $173.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.61 / $144.06 / $260.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $21.85 / $74.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.09 / $66.09 / $79.01