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Michigan 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 / $87.92 / $132.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.63 / $50.96 / $83.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.15 / $106.55 / $201.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.31 / $46.31 / $48.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.53 / $54.60 / $65.58
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $89.03 / $142.50
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.67 / $48.67 / $87.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.93 / $45.66 / $45.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.05 / $58.86 / $81.18