go back

Virginia 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 / $78.45 / $155.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.96 / $37.36 / $61.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.12 / $41.12 / $41.12
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.04 / $43.30 / $65.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.25 / $35.25 / $47.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.32 / $47.32 / $47.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.76 / $44.84 / $49.16
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.75 / $37.36 / $43.60
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $34.00 / $34.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.28 / $47.88 / $62.20
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.28 / $47.88 / $62.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.25 / $49.16 / $53.95