go back

Minnesota 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
$1,857.07 / $2,005.64 / $6,644.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.68 / $2,175.79 / $4,053.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,402.67 / $1,753.34 / $1,753.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,369.91 / $5,799.10 / $7,060.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,838.87 / $2,189.65 / $2,312.23
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,906.75 / $5,292.06 / $6,641.78
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,820.66 / $1,820.66 / $2,548.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.87 / $719.87 / $3,138.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,036.65 / $2,062.81 / $2,454.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.04 / $2,062.81 / $2,490.37