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West Virginia 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
$54.52 / $95.88 / $196.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $47.85 / $83.07
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $59.72
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.30 / $92.30 / $92.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.56 / $54.60 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.60 / $54.60 / $72.23
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.39 / $100.90 / $179.83
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.49 / $45.88 / $47.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.05 / $57.62 / $62.63