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Illinois 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
$36.36 / $73.47 / $138.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.67 / $37.36 / $61.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.60 / $137.94 / $559.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $33.92
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.23 / $56.06 / $89.69
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.58 / $48.58 / $48.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.30 / $24.30 / $35.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.25 / $49.16 / $50.70