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Indiana rates for HCPCS J1670

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.82 / $1,396.27 / $2,622.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.00 / $598.91 / $598.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.00 / $1,186.00 / $1,571.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.05 / $593.00 / $842.06
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.00 / $593.00 / $889.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.00 / $593.00 / $741.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.00 / $593.00 / $593.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.41 / $593.00 / $1,599.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.00 / $593.00 / $779.00