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North Carolina 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
$26.56 / $77.38 / $139.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $37.36 / $64.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.98 / $57.05 / $70.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.25 / $31.25 / $46.48
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 / $50.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.27 / $44.47 / $52.88
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.09 / $23.09 / $23.09
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$664.54 / $664.54 / $2,340.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.25 / $49.16 / $50.70
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.70 / $100.00 / $147.79