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Maryland 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
$1,857.07 / $1,857.07 / $1,857.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,857.06 / $1,857.07 / $6,632.40
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,774.09 / $1,774.09 / $1,774.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,039.14 / $2,039.14 / $2,039.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,911.39 / $1,911.39 / $1,911.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,856.53 / $2,123.77 / $2,123.77
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,599.81 / $3,599.81 / $3,599.81