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Michigan rates for HCPCS 90714

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

Facilitymedian $65 · 10th–90th $39–$1230%5%10%10th90th$65Professionalmedian $39 · 10th–90th $29–$650%20%10th90th$39$10.0$20.0$50.0$100.0$200.0$500.0

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
$38.02 / $63.10 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $38.90 / $64.57
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $33.11 / $37.15
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $97.72 / $199.53
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $45.71 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $51.29
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $64.57 / $112.20
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $38.90 / $63.10
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $30.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $52.48 / $56.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $52.48 / $57.54