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New York 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
$39.81 / $80.37 / $167.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.28 / $45.00 / $95.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.65 / $49.73 / $66.70
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.15 / $36.15 / $36.15
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.15 / $36.15 / $36.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.56 / $37.56 / $51.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.19 / $54.60 / $54.60
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $64.98 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.07 / $52.25 / $60.09
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.18 / $51.18 / $51.18
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $51.18 / $51.18
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.32 / $52.24 / $136.54
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.92 / $44.28 / $45.08
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.56 / $37.56 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.19 / $50.00 / $55.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.05 / $57.62 / $71.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.06 / $51.18 / $51.18
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.06 / $39.43 / $51.18