go back

Connecticut 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 / $87.50 / $101.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.36 / $37.36 / $37.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.36 / $59.26 / $115.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.12 / $41.12 / $41.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.32 / $47.32 / $47.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.32 / $47.32 / $47.32
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.36 / $45.36 / $45.36
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.78 / $44.67 / $46.74
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.54 / $31.54 / $120.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.25 / $42.25 / $46.48