go back

Alaska rates for HCPCS 90378

Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,857.07 / $2,042.77 / $2,785.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,039.14 / $2,039.14 / $2,039.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,983.42 / $3,983.42 / $3,983.42
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,058.71 / $3,058.71 / $4,806.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,058.71 / $3,983.42 / $7,209.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,039.14 / $2,039.14 / $2,039.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,875.28 / $1,875.28 / $2,123.77