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Kansas 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
$33.04 / $79.86 / $235.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.86 / $37.36 / $45.97
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.36 / $37.36 / $37.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.97 / $38.79 / $97.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.07 / $48.07 / $48.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.25 / $35.25 / $47.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $47.32 / $47.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.26 / $33.59 / $47.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.12 / $49.16 / $49.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.12 / $49.16 / $50.70