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Pennsylvania rates for HCPCS 86774

Antibody; tetanus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.58 / $51.80 / $125.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.99 / $13.22 / $13.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.88 / $8.88 / $8.88
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.64 / $96.93 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $11.54 / $11.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.73 / $19.71 / $48.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.32 / $16.93 / $25.81
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.81 / $8.73 / $20.04
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.60 / $57.84 / $243.88
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.88 / $14.00 / $14.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.14 / $51.08 / $118.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.45 / $13.25 / $61.12
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.91 / $22.47 / $48.90
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.32 / $16.93 / $25.81
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.80 / $14.80 / $14.80
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.02 / $14.80 / $21.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.22 / $9.08 / $25.93