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Vermont rates for HCPCS 86774

Antibody; tetanus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $14.13 / $15.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $151.36 / $165.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $24.55 / $24.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $16.98 / $23.44
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.13 / $5.13 / $5.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $8.91 / $39.81