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Arizona 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
$0.02 / $0.04 / $3,714.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,857.06 / $1,857.07 / $6,951.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,710.69 / $6,496.11 / $10,291.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,201.63 / $1,747.83 / $11,581.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,039.14 / $2,039.14 / $2,039.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,039.14 / $2,039.14 / $2,039.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,261.74 / $2,075.55 / $2,655.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,119.07 / $2,123.77 / $2,250.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,119.07 / $2,123.77 / $2,250.34