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Illinois rates for HCPCS 90396

Varicella-zoster immune globulin, human, for intramuscular use

Facilitymedian $2,754 · 10th–90th $347–$10,0000%20%10th90th$2,754Professionalmedian $2,344 · 10th–90th $2,239–$2,7540%50%10th90th$2,344$10.0$50.0$200.0$1.0K$5.0K$20.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $2,344.23 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $2,344.23 / $2,344.23
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $3,162.28 / $21,379.62
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $2,630.27 / $2,630.27
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $5,370.32 / $6,456.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $2,691.53 / $2,691.53
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $23.99 / $407.38
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $17.78 / $19.05
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $3,715.35 / $3,715.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $2,884.03 / $3,019.95