go back

Pennsylvania 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 / $1,148.33 / $1,754.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.00 / $598.92 / $1,248.60
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.85 / $643.35 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.38 / $615.38 / $615.38
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
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.82 / $984.97 / $1,754.23
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.82 / $648.74 / $1,754.23
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.44 / $593.00 / $593.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.00 / $593.00 / $593.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.41 / $524.41 / $608.52
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.41 / $524.41 / $608.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.00 / $593.00 / $818.93