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South Dakota rates for HCPCS 90715

Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use

Facilitymedian $100 · 10th–90th $65–$2040%10%10th90th$100Professionalmedian $52 · 10th–90th $39–$740%20%10th90th$52$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $107.15 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $52.48 / $74.13
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $39.81 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $50.12
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $89.13 / $162.18
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $53.70 / $53.70
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $43.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $54.95 / $56.23
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81