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Iowa rates for HCPCS 90378

Respiratory Syncytial Virus Ig Im 50 Mg E

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.27 / $1,800.27 / $6,533.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800.27 / $1,857.07 / $4,707.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,820.66 / $1,820.66 / $2,275.83
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.50 / $1,332.72 / $2,953.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.87 / $719.87 / $2,542.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,875.28 / $2,119.07 / $2,212.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,079.81 / $1,295.77 / $1,734.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,975.56 / $1,975.56 / $1,975.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,875.28 / $2,119.07 / $2,212.83
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,718.96 / $1,718.96 / $1,718.96
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,718.96 / $1,718.96 / $1,718.96