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Massachusetts rates for HCPCS 90396

Varicella-zoster immune globulin, human, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $2,344.23 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,344.23 / $2,344.23
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $6,760.83 / $11,748.98
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,630.27 / $3,715.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $5,128.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $2,570.40
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $3,548.13 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $144.54 / $169.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,454.71 / $4,073.80
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $6,760.83 / $11,748.98
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,630.27 / $3,715.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $2,344.23 / $4,897.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,754.23 / $3,548.13