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Wisconsin rates for HCPCS 86774

Antibody Tetanus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.76 / $33.00 / $450.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.14 / $13.32 / $17.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.82 / $38.47 / $40.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $7.31 / $61.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.69 / $40.18 / $41.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.54 / $47.39 / $72.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.93 / $39.85 / $45.29
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $13.18 / $17.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.14 / $13.32 / $162.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.69 / $14.80 / $41.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.40 / $29.01 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $13.18 / $17.76
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.07 / $36.43 / $73.76
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.60 / $50.00 / $162.06
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.84 / $9.80 / $14.37
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.52 / $31.52 / $72.87
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.00 / $72.87 / $80.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.40 / $12.10 / $40.56