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Minnesota rates for HCPCS 90393

Vaccinia immune globulin, human, for intramuscular use

Facilitymedian $115 · 10th–90th $115$1150%50%100%$115Professionalmedian $31 · 10th–90th $28$930%20%10th90th$31$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $114.82 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $93.33 / $120.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $30.20 / $38.90