go back

Oklahoma 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
$43.00 / $123.70 / $252.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.89 / $43.00 / $43.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.56 / $37.56 / $54.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.06 / $54.60 / $54.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.65 / $50.17 / $170.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.60 / $55.76 / $58.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.60 / $57.62 / $58.86