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Maryland 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
$44.84 / $89.77 / $160.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.98 / $36.36 / $43.66
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.84 / $42.84 / $45.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.32 / $47.32 / $47.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.36 / $37.36 / $44.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.25 / $49.16 / $50.70
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.47 / $33.47 / $33.47