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West 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
$38.90 / $87.10 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $38.02 / $63.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $56.23 / $56.23
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $51.29 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $158.49 / $158.49
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $95.50 / $144.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $52.48 / $58.88