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Oklahoma 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
$2,005.64 / $2,005.64 / $2,005.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,005.64 / $2,005.64 / $2,042.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.73 / $58.73 / $85.09
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
$1,202.75 / $2,039.14 / $2,039.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.87 / $2,005.64 / $2,868.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,781.52 / $2,123.77 / $2,250.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,781.52 / $2,123.77 / $2,250.34