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Illinois rates for HCPCS 90378

Respiratory Syncytial Virus Ig Im 50 Mg E

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,857.07 / $1,857.07 / $6,901.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,857.07 / $1,857.07 / $2,339.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,158.99 / $2,270.34 / $17,238.37
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.12 / $27.42 / $2,768.83
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.51 / $17.64 / $19.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,875.28 / $2,123.77 / $2,250.34