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Ohio 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
$44.48 / $98.00 / $193.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.67 / $55.29 / $133.93
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.71 / $39.71 / $39.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.72 / $93.16 / $258.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.73 / $49.73 / $83.99
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.71 / $39.81 / $59.81
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.71 / $39.81 / $53.74
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 / $83.51
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.63 / $85.22 / $172.42
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.71 / $54.60 / $90.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.79 / $57.57 / $82.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.60 / $55.43 / $65.09