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Virginia 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
$1,857.06 / $1,857.07 / $5,995.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,857.07 / $1,857.07 / $1,890.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.87 / $1,518.93 / $2,447.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,747.83 / $1,747.83 / $1,747.83
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
$572.87 / $2,039.14 / $2,039.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,123.77 / $2,123.77 / $2,123.77
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.11 / $1,800.27 / $2,828.32
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,857.07 / $2,030.95 / $2,680.01
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,857.07 / $2,030.95 / $2,680.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,875.28 / $2,123.77 / $2,250.34