go back

Michigan 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 / $8,871.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,857.06 / $1,857.07 / $6,951.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,209.01 / $3,979.42 / $7,527.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,729.63 / $1,729.63 / $1,820.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,528.27 / $2,039.14 / $2,039.14
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,856.48 / $1,929.90 / $8,871.95
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,857.07 / $1,929.90 / $2,315.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,894.85 / $2,894.85 / $2,894.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,875.28 / $2,123.77 / $2,325.35