go back

Montana rates for HCPCS 90371

Hepatitis B immune globulin (HBIg), human, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $380.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $46,773.51 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $162.18 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $177.83 / $177.83
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $147.91 / $416.87
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $147.91 / $416.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $162.18 / $338.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $147.91 / $194.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $154.88 / $165.96