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Maryland 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
$67.12 / $111.33 / $217.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $39.81 / $49.64
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.34 / $49.34 / $49.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.60 / $54.60 / $54.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $51.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.05 / $57.62 / $57.62
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.63 / $38.63 / $38.63