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Missouri rates for HCPCS J1670

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $776.25 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $602.56 / $1,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $602.56 / $1,548.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $588.84 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $588.84 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $588.84 / $602.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $758.58 / $2,884.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $575.44 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $707.95 / $776.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $588.84 / $724.44