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Pennsylvania rates for HCPCS 86774

Antibody; tetanus

Facilitymedian $44 · 10th–90th $17$1100%10%20%10th90th$44Professionalmedian $12 · 10th–90th $9$220%20%40%10th90th$12$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $43.65 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.02 / $21.38
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $8.91
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $72.44 / $660.69
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $104.71 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $14.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $22.39 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $19.05 / $35.48
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $8.71 / $21.38
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $14.79
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $16.60 / $25.70
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $58.88 / $125.89
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.00 / $11.22
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $60.26 / $141.25
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $22.91 / $42.66
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.02 / $16.98
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $14.79 / $128.82
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $14.79 / $53.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $14.79 / $17.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $9.77 / $25.12