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Utah rates for HCPCS 86774

Antibody Tetanus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.36 / $54.29 / $71.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.36 / $13.22 / $15.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.65 / $13.01 / $40.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.35 / $16.93 / $21.17
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.80 / $17.02 / $66.58
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.33 / $11.94 / $17.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.22 / $6.22 / $8.88