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Washington 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 / $70.94 / $155.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.67 / $37.36 / $64.59
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.47 / $48.07 / $147.79
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.47 / $45.36 / $50.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.25 / $35.25 / $90.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.32 / $47.32 / $47.32
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.82 / $37.36 / $75.47
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.47 / $39.47 / $48.07
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.85 / $38.54 / $50.47
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.36 / $45.36 / $45.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.36 / $45.36 / $45.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.25 / $47.74 / $50.70