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Massachusetts 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
$37.36 / $76.76 / $121.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $37.68 / $75.65
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.82 / $93.57 / $147.79
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.36 / $44.47 / $51.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.10 / $47.68 / $101.65
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.47 / $74.73 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.76 / $37.36 / $79.22
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.90 / $124.98 / $191.47
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.70 / $49.70 / $147.79
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.25 / $49.16 / $63.38
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.66 / $22.73 / $27.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.25 / $49.16 / $51.99