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Colorado rates for HCPCS 90396

Varicella-zoster immune globulin, human, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,326.37 / $2,326.37 / $2,326.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,326.37 / $2,326.37 / $2,326.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.06 / $3,968.52 / $7,298.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,326.37 / $2,326.37 / $2,326.37
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
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.03 / $2,326.37 / $3,326.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.00 / $438.00 / $438.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,762.75 / $6,762.75 / $6,762.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,349.17 / $2,736.91 / $2,819.02