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Montana rates for HCPCS 90715

Tdap Vaccine 7 Yrs/> Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $152.34 / $345.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.28 / $48.84 / $85.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.22 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.60 / $44.60 / $98.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.60 / $54.60 / $54.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.60 / $44.60 / $98.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.19 / $43.19 / $56.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.43 / $55.43 / $58.86