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Vermont rates for HCPCS 90715

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

Facilitymedian $83 · 10th–90th $14–$1620%10%20%10th90th$83Professionalmedian $54 · 10th–90th $39–$580%20%10th90th$54$20.0$50.0$100.0$200.0

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
$14.13 / $102.33 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $53.70 / $57.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $120.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $56.23 / $56.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $53.70 / $58.88