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Maine rates for HCPCS 86774

Antibody Tetanus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.99 / $14.80 / $66.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.99 / $11.99 / $14.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.32 / $19.76 / $97.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.92 / $5.92 / $12.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.74 / $20.52 / $21.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.67 / $16.93 / $21.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.80 / $14.80 / $17.92
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.80 / $14.80 / $66.16
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.99 / $11.99 / $14.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.61 / $8.88 / $19.02