go back

Missouri 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 / $2,294.03 / $7,891.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,857.06 / $1,857.07 / $2,184.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.87 / $2,457.89 / $4,791.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,184.79 / $2,184.79 / $2,184.79
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.87 / $2,075.55 / $9,193.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,875.28 / $2,123.77 / $2,267.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,875.28 / $2,123.77 / $2,269.09