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Massachusetts rates for HCPCS 90702

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

Facilitymedian $42 · 10th–90th $32$1580%20%40%10th90th$42Professionalmedian $68 · 10th–90th $66$1020%50%10th90th$68$0.1$1.0$10.0$100.0$1.0K$10.0K

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
$67.61 / $67.61 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $74.13
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $194.98 / $223.87
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.10 / $67.61 / $81.28
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $64.57
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $154.88 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $95.50
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $3,630.78 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $14.13 / $28.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $67.61 / $112.20
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $194.98 / $223.87
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.10 / $67.61 / $81.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.10 / $27.54 / $36.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.10 / $67.61 / $100.00