go back

Maine rates for HCPCS J1670

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.76 / $1,375.76 / $1,482.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.91 / $616.72 / $698.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.85 / $720.32 / $1,879.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.00 / $593.00 / $593.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.00 / $593.00 / $593.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.00 / $593.00 / $593.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.00 / $593.00 / $718.12
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.76 / $1,375.76 / $1,482.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.91 / $658.82 / $1,482.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.05 / $593.00 / $859.85