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North Dakota 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
$1,857.06 / $1,857.07 / $1,857.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,820.66 / $1,838.87 / $2,275.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.27 / $1,857.07 / $5,571.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,036.65 / $2,062.81 / $2,123.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,875.28 / $2,062.81 / $2,119.07