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Utah 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
$51.98 / $119.93 / $202.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.29 / $50.38 / $64.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.52 / $56.02 / $92.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.60 / $54.60 / $54.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.60 / $55.43 / $58.86