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Montana 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 / $2,430.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,839.74 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,039.14 / $2,039.14 / $2,039.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,039.14 / $2,039.14 / $2,062.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,119.07 / $2,119.07 / $2,250.34