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Vermont 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
Professional
Modifier
Low / Median / High Price
$37.36 / $41.10 / $52.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.31 / $42.31 / $42.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.25 / $42.90 / $64.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.32 / $47.32 / $47.32
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.25 / $42.90 / $64.45
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.32 / $47.32 / $47.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.14 / $43.94 / $49.16