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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
$40.74 / $44.67 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $38.02 / $45.71
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $37.15 / $38.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $37.15 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $51.29 / $51.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $38.90 / $147.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $48.98 / $51.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $51.29 / $54.95