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Wyoming 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
$36.36 / $165.17 / $189.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.88 / $35.88 / $37.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.84 / $50.40 / $50.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.25 / $35.25 / $35.25
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