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Arkansas rates for HCPCS 90378

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,857.07 / $1,857.07 / $2,785.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,857.06 / $1,857.07 / $2,042.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,718.96 / $1,718.96 / $1,718.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,718.96 / $1,718.96 / $1,718.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.53 / $2,039.14 / $2,039.14
Cigna
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
$1,781.52 / $1,875.28 / $2,123.77