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Maine rates for HCPCS 86774

Antibody; tetanus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $10.96 / $41.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $87.10 / $93.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $8.91 / $12.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $21.38 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $15.14 / $21.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $14.79 / $17.78
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $66.07
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $14.79 / $41.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $14.79 / $22.39