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Idaho rates for HCPCS J1670

Injection, tetanus immune globulin, human, up to 250 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.04 / $577.04 / $663.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.00 / $652.29 / $741.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.44 / $593.00 / $593.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.00 / $593.00 / $593.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.19 / $741.25 / $1,059.99
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.00 / $593.00 / $741.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.76 / $575.76 / $575.76
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.91 / $847.38 / $1,412.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.60 / $711.60 / $741.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.00 / $593.00 / $830.20