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Utah 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 / $3,772.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,857.07 / $1,857.07 / $1,857.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,039.14 / $2,039.14 / $2,039.14
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.28 / $730.31 / $1,920.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,875.28 / $2,123.77 / $2,250.34