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Indiana 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
$63.90 / $217.98 / $350.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.63 / $42.32 / $96.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.78 / $79.62 / $119.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.27 / $49.73 / $70.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $59.32
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $45.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.60 / $54.60 / $54.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.18 / $54.60 / $145.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.05 / $55.43 / $59.40