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Arizona rates for HCPCS 90396

Varicella-Zoster Immune Globulin Human Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,652.74 / $4,652.74 / $4,652.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,695.20 / $2,326.37 / $2,326.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,143.00 / $8,137.75 / $12,892.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,505.30 / $2,189.53 / $14,508.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,554.44 / $2,554.44 / $2,554.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,554.44 / $2,554.44 / $2,554.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.50 / $2,600.06 / $3,326.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,654.57 / $2,736.91 / $2,819.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,654.57 / $2,736.91 / $2,819.02