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Minnesota 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
$61.75 / $110.12 / $175.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.29 / $50.08 / $89.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $45.78 / $84.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.77 / $39.71 / $39.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.67 / $125.06 / $152.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.22 / $47.22 / $50.58
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.68 / $114.12 / $143.22
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.83 / $39.83 / $55.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.71 / $76.62 / $161.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.27 / $53.96 / $64.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.50 / $53.96 / $65.14