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Kansas rates for HCPCS 90396

Varicella-Zoster Immune Globulin Human Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,326.37 / $2,791.64 / $3,010.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,326.37 / $2,326.37 / $2,861.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,901.78 / $2,516.73 / $2,649.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,736.91 / $2,736.91 / $2,736.91
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
$116.00 / $2,554.44 / $2,554.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,722.80 / $2,600.06 / $2,861.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,508.92 / $2,736.91 / $2,819.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,508.92 / $2,736.91 / $3,080.94