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New Hampshire rates for HCPCS 86774

Antibody; tetanus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.02 / $48.43 / $103.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.86 / $10.61 / $10.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.35 / $28.65 / $66.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.92 / $9.61 / $11.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.77 / $75.29 / $100.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.72 / $10.66 / $21.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.09 / $26.30 / $53.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.22 / $8.88 / $8.88
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.65 / $15.53 / $23.81