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Hawaii 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
$79.54 / $79.54 / $79.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.98 / $37.36 / $71.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.32 / $47.32 / $47.32
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.23 / $30.23 / $30.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.11 / $44.84 / $52.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.18 / $49.16 / $63.38
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.84 / $33.84 / $39.81