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Oklahoma 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
$39.27 / $69.59 / $87.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.27 / $40.36 / $41.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.25 / $35.25 / $47.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.83 / $47.32 / $47.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.26 / $39.27 / $147.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.14 / $48.63 / $50.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.14 / $49.16 / $50.70