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Hawaii rates for HCPCS 90378

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

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,039.14 / $2,039.14 / $2,039.14
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,528.27 / $1,528.27 / $1,528.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,755.26 / $2,123.77 / $2,812.92
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,298.16 / $1,298.16 / $1,527.25