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Minnesota 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
$2,326.37 / $2,326.37 / $2,512.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.81 / $2,049.23 / $4,652.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,861.10 / $2,326.37 / $2,326.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,039.64 / $6,951.61 / $8,463.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,204.33 / $2,624.82 / $2,771.78
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,484.43 / $6,343.80 / $7,961.76
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,182.50 / $2,182.50 / $3,055.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.07 / $2,359.90 / $3,931.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,551.33 / $2,584.10 / $3,075.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,466.64 / $2,584.10 / $3,180.99