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Wisconsin rates for HCPCS J1670

Tetanus Immune Globulin Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.36 / $1,125.25 / $1,325.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.00 / $610.79 / $1,248.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.25 / $1,097.05 / $1,322.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.00 / $593.00 / $753.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$811.87 / $811.87 / $948.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.00 / $1,412.36 / $2,018.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.61 / $902.39 / $1,025.44
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.85 / $577.04 / $1,306.61
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.08 / $1,186.00 / $1,186.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.85 / $577.04 / $1,382.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.04 / $577.04 / $1,186.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $85.00 / $575.76
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.85 / $577.04 / $1,306.61
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.08 / $1,186.00 / $1,186.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.00 / $858.14 / $1,769.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.00 / $593.00 / $2,878.80
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.00 / $593.00 / $593.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.26 / $832.57 / $850.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.00 / $593.00 / $811.94