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Missouri 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
$54.24 / $99.44 / $165.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.63 / $45.27 / $72.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.39 / $67.68 / $104.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.73 / $56.42 / $56.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.56 / $37.56 / $54.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.60 / $54.60 / $54.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.40 / $79.79 / $201.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.05 / $55.76 / $59.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.05 / $56.47 / $58.86