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Connecticut rates for HCPCS 90396

Varicella-Zoster Immune Globulin Human Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,326.37 / $2,326.37 / $6,642.72
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
$114.27 / $3,256.93 / $6,836.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,280.76 / $2,280.76 / $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
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.20 / $56.20 / $56.20
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.44 / $62.44 / $62.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,349.17 / $2,349.17 / $2,584.10