go back

New Mexico 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
$99.15 / $153.34 / $232.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.76 / $42.60 / $85.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.11 / $46.83 / $46.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.60 / $54.60 / $54.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.60 / $54.60 / $54.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.82 / $45.66 / $54.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.60 / $54.60 / $54.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.43 / $57.62 / $58.86