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Nebraska 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
$36.36 / $44.52 / $118.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $46.00 / $61.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.96 / $42.31 / $256.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.10 / $41.03 / $42.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.00 / $29.00 / $29.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.61 / $43.27 / $47.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.00 / $68.16 / $189.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.25 / $46.56 / $50.70
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.11 / $34.72 / $41.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.32 / $29.03 / $46.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.25 / $46.48 / $49.86