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North Dakota 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
$71.26 / $93.86 / $193.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.14 / $39.81 / $48.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.71 / $43.34 / $43.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.83 / $40.22 / $50.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.25 / $59.58 / $126.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.27 / $53.96 / $55.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.05 / $53.96 / $55.43