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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.36 / $115.18 / $139.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.67 / $37.93 / $65.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.90 / $124.07 / $195.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.21 / $35.21 / $237.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.25 / $47.32 / $47.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.32 / $47.32 / $47.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $36.36 / $52.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.74 / $49.16 / $50.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.74 / $49.16 / $50.70