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Arizona rates for HCPCS 90714

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

Facilitymedian $95 · 10th–90th $35–$2510%5%10th90th$95Professionalmedian $42 · 10th–90th $31–$660%20%10th90th$42$20.0$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
$38.90 / $77.62 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $40.74 / $66.07
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $134.90 / $245.47
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $74.13 / $269.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $85.11 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $51.29
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $36.31 / $52.48
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $48.98 / $51.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $56.23 / $56.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $52.48 / $54.95