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Indiana rates for HCPCS 90393

Vaccinia Immune Globulin Human Im

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.00 / $63.00 / $63.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $1.00 / $1.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.92 / $3.92 / $4.79
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.92 / $3.92 / $4.88