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Washington rates for HCPCS J1670

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$648.66 / $1,014.56 / $1,377.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.00 / $652.29 / $699.38
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.91 / $847.38 / $1,638.27
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.00 / $620.64 / $779.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.44 / $559.44 / $1,151.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.00 / $593.00 / $727.27
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.04 / $721.31 / $1,233.44
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$514.97 / $925.78 / $1,620.12
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.28 / $620.64 / $779.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.99 / $677.90 / $1,257.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.00 / $593.00 / $593.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.00 / $593.00 / $593.00