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Maine 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 / $2,042.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$696.62 / $874.43 / $2,281.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,857.07 / $1,857.07 / $1,857.07
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,757.66 / $2,033.61 / $3,119.67
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,346.57 / $1,857.06 / $2,042.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,757.66 / $1,875.28 / $2,812.92