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Utah rates for HCPCS J1670

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $1,096.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $588.84 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $812.83 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $588.84 / $588.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,047.13 / $2,041.74
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $575.44 / $575.44
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $588.84 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $588.84 / $588.84