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Virginia rates for HCPCS 90371

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.19 / $134.19 / $320.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.19 / $134.19 / $134.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.19 / $283.14 / $456.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.19 / $134.19 / $134.19
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.66 / $223.79 / $337.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.60 / $126.60 / $177.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.04 / $177.04 / $177.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.06 / $161.03 / $195.02
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.45 / $134.19 / $198.87
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.00 / $203.00 / $203.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.40 / $180.21 / $232.68
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.40 / $180.21 / $232.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.19 / $171.34 / $195.02