go back

Louisiana 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 / $103.29 / $181.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.36 / $37.36 / $56.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.02 / $44.29 / $56.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.36 / $37.36 / $38.11
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.18 / $22.18 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.25 / $35.25 / $47.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.32 / $47.32 / $47.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.33 / $47.74 / $50.70