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Virginia rates for HCPCS 90702

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

Facilitymedian $68 · 10th–90th $68–$790%50%90th$68Professionalmedian $68 · 10th–90th $68–$740%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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $67.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $112.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $144.54 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $74.13 / $74.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $25.70 / $26.92
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $25.12
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $79.43 / $102.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $36.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $79.43 / $85.11