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Massachusetts 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 / $16,768.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,326.37 / $2,326.37 / $2,326.37
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,448.84 / $5,943.56 / $7,375.47
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,226.21 / $2,671.46 / $3,523.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,789.86 / $3,317.68 / $7,072.16
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,909.00 / $3,472.00 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.75 / $143.75 / $169.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,977.41 / $2,326.37 / $4,831.41
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.06 / $2,600.06 / $11,809.10
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,349.17 / $2,736.91 / $3,523.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,349.17 / $2,736.91 / $3,288.95