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Delaware 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
$39.81 / $167.01 / $296.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $39.81 / $52.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.60 / $54.60 / $54.60
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.60 / $84.50 / $292.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.62 / $57.62 / $73.58