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Maryland 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 / $2,326.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,326.36 / $2,326.37 / $2,326.37
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,189.53 / $2,189.53 / $2,189.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,554.44 / $2,554.44 / $2,554.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.40 / $124.69 / $161.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,325.69 / $2,736.91 / $2,819.02
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.41 / $110.41 / $110.41