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Tennessee 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 / $8,494.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,857.07 / $1,857.07 / $1,857.07
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,075.55 / $9,193.40 / $9,193.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,875.28 / $1,875.28 / $2,212.83