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Alaska rates for HCPCS 86774

Antibody; tetanus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.90 / $102.14 / $173.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.61 / $49.58 / $56.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.89 / $40.89 / $40.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.89 / $16.93 / $21.17
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.42 / $13.42 / $13.42
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.80 / $14.80 / $59.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.80 / $56.98 / $95.46
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.32 / $33.29 / $33.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.42 / $13.42 / $51.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.80 / $14.80 / $21.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.31 / $29.60 / $44.65