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Michigan rates for HCPCS 86774

Antibody; tetanus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.00 / $14.06 / $103.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.73 / $13.32 / $14.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.63 / $16.73 / $29.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.55 / $11.10 / $14.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.31 / $16.93 / $21.17
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.00 / $14.06 / $25.84
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.22 / $17.70 / $20.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.02 / $12.25 / $16.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.22 / $10.88 / $11.53