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Montana rates for HCPCS 86774

Antibody; tetanus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.01 / $17.01 / $17.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.32 / $17.02 / $95.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.82 / $19.82 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.82 / $19.82 / $19.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.46 / $28.86 / $43.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.21 / $21.17 / $21.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.46 / $25.16 / $43.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.32 / $14.80 / $21.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.22 / $6.22 / $20.34