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Louisiana rates for HCPCS 90714

Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use

Facilitymedian $72 · 10th–90th $34–$1290%10%20%10th90th$72Professionalmedian $38 · 10th–90th $28–$650%20%40%10th90th$38$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $100.00 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $38.02 / $64.57
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $40.74
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $81.28 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $51.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $36.31 / $41.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $50.12 / $54.95