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Alaska rates for HCPCS 90714

Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use

Facilitymedian $81 · 10th–90th $39–$7760%10%10th90th$81Professionalmedian $38 · 10th–90th $30–$480%20%10th90th$38$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
$75.86 / $117.49 / $776.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $38.02 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $51.29
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $38.90 / $588.84
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $38.90 / $125.89
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $70.79 / $109.65
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $24.55
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $36.31
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $51.29 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $46.77 / $52.48