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Missouri 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 / $67.38 / $128.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.34 / $37.36 / $48.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.72 / $63.53 / $98.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.12 / $41.12 / $41.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.25 / $35.25 / $47.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.32 / $47.32 / $47.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.59 / $47.37 / $147.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.22 / $49.16 / $50.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.25 / $49.16 / $51.10