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Utah 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
$37.36 / $70.81 / $111.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.77 / $37.36 / $42.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.57 / $48.48 / $80.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.32 / $47.32 / $47.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.25 / $47.74 / $50.70