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Idaho rates for HCPCS 90378

Respiratory Syncytial Virus Ig Im 50 Mg E

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,857.06 / $1,857.07 / $6,951.16
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.55 / $1,857.07 / $2,655.61
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.65 / $526.50 / $2,300.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,813.38 / $1,813.38 / $2,266.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,119.07 / $2,250.34 / $2,625.39