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Alaska rates for HCPCS 90715

Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.57 / $125.29 / $270.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.50 / $39.81 / $65.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.60 / $54.60 / $54.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.94 / $100.73 / $228.05
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $43.19 / $128.19
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.30 / $78.98 / $124.12
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.87 / $28.87 / $28.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.94 / $78.98 / $186.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.10 / $43.19 / $54.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.05 / $49.05 / $57.62