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Hawaii rates for HCPCS 86774

Antibody; tetanus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.21 / $13.84 / $17.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.78 / $17.76 / $17.76
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.08 / $31.76 / $37.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.80 / $17.76 / $22.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.22 / $17.76 / $28.73
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.57 / $26.88 / $37.22