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Texas rates for HCPCS 90371

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.69 / $189.69 / $227.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.19 / $189.69 / $189.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.71 / $325.77 / $649.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.40 / $182.40 / $182.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.60 / $177.04 / $177.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.04 / $177.04 / $177.04
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.51 / $751.40 / $975.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.27 / $155.97 / $271.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.85 / $126.85 / $134.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.60 / $177.04 / $271.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.19 / $177.04 / $177.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.48 / $158.34 / $195.02
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.66 / $146.31 / $181.16