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Tennessee 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
$64.54 / $120.04 / $211.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $62.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.97 / $170.54 / $170.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.05 / $49.05 / $57.88