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Arizona 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
$43.60 / $121.10 / $545.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.52 / $51.92 / $136.24
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.25 / $43.25 / $43.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.93 / $142.19 / $251.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.43 / $38.44 / $246.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.18 / $54.60 / $54.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.60 / $54.60 / $54.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.71 / $56.79 / $192.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.43 / $55.76 / $58.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.43 / $57.62 / $58.86