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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.36 / $68.86 / $98.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.78 / $37.36 / $62.70
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.36 / $36.36 / $36.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.26 / $92.35 / $174.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.14 / $40.14 / $42.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.63 / $47.32 / $47.32
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.36 / $63.70 / $107.21
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.65 / $37.36 / $58.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.05 / $41.82 / $42.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.25 / $49.16 / $50.70