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New Jersey 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
$31.32 / $37.36 / $111.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.36 / $37.36 / $37.36
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.68 / $9,838.08 / $49,190.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.53 / $38.27 / $47.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.74 / $47.32 / $47.32
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,165.00 / $8,702.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.59 / $36.36 / $36.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.25 / $42.25 / $49.86