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Nebraska 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
$1,800.27 / $2,692.75 / $9,966.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,857.07 / $1,857.07 / $3,116.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,104.97 / $1,520.18 / $1,600.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,820.66 / $2,039.14 / $2,275.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.87 / $1,800.27 / $9,193.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,875.28 / $2,062.81 / $2,250.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,079.81 / $1,367.75 / $1,975.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,975.56 / $1,975.56 / $1,975.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,875.28 / $2,062.81 / $2,212.83