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New York 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
$34.61 / $49.40 / $101.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.82 / $37.36 / $62.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.55 / $41.12 / $44.64
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.70 / $27.70 / $27.70
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.70 / $27.70 / $27.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.76 / $35.25 / $35.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.32 / $47.32 / $47.32
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.36 / $60.98 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.30 / $45.36 / $52.16
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.36 / $44.36 / $44.36
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.36 / $44.36 / $44.36
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.23 / $38.45 / $100.50
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.90 / $38.45 / $40.46
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.76 / $35.25 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.54 / $47.32 / $55.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.25 / $49.16 / $75.55
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.10 / $44.36 / $44.36
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.07 / $20.46 / $44.36