go back

Indiana rates for HCPCS 90715

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

Facilitymedian $174 · 10th–90th $59–$2880%10%10th90th$174Professionalmedian $49 · 10th–90th $39–$1100%10%20%10th90th$49$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $194.98 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $47.86 / $112.20
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $33.88 / $39.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $91.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $79.43
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $72.44
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $43.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $154.88 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $53.70 / $64.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $56.23 / $66.07