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Chickenpox and Shingles Immune Globulin

Michigan rates for HCPCS 90396

An injection of ready-made antibodies against the chickenpox and shingles virus, given into a muscle to protect someone who has been exposed and cannot rely on their own immunity. It gives immediate but short-lived protection and is used for people at high risk of severe illness, such as newborns, pregnant women and those with weakened immune systems. The charge covers the antibody product; giving the injection is billed separately.

Rates data updated July 2026.

Facilitymedian $4,677 · 10th–90th $2,455$10,0000%10%20%10th90th$4,677Professionalmedian $2,455 · 10th–90th $2,291$3,0900%50%10th90th$2,455$100.0$500.0$2.0K$10.0K

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
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,454.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,454.71
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$5,248.07
Typical High
$10,471.29
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,398.83
Typical High
$2,398.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$2,691.53
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$2,754.23
Typical High
$8,912.51
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$3,090.30
Typical High
$4,168.69
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$2,511.89
United
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$3,019.95
Typical High
$3,162.28