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Wisconsin rates for HCPCS 90703

Tetanus Toxoid Adsorbed Intramuscular

Facilitymedian $91 · 10th–90th $43–$1580%10%10th90th$91Professionalmedian $50 · 10th–90th $45–$580%20%40%10th90th$50$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
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $107.15 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $50.12 / $57.54
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $42.66 / $70.79
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $42.66 / $70.79
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $64.57
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00