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Pennsylvania rates for HCPCS 90393

Vaccinia immune globulin, human, for intramuscular use

Insurance Carrier
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.36 / $11.01 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.01 / $11.01 / $11.01
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.72 / $31.72 / $31.72
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.72 / $31.72 / $31.72