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Iowa 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
$48.07 / $54.90 / $118.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.82 / $48.07 / $98.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.61 / $34.61 / $43.27
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.21 / $48.95 / $93.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.00 / $48.07 / $61.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.00 / $47.74 / $49.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.11 / $34.72 / $43.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.95 / $29.00 / $46.36
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.80 / $1,749.34 / $3,021.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.25 / $47.74 / $49.86
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.36 / $36.36 / $36.36
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.36 / $36.36 / $36.36