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Missouri rates for HCPCS 90396

Varicella-Zoster Immune Globulin Human Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,326.37 / $2,736.91 / $2,873.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,326.37 / $2,326.37 / $2,791.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.41 / $396.59 / $6,002.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,619.08 / $2,619.08 / $2,619.08
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,326.37 / $2,619.08 / $11,271.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,349.17 / $2,736.91 / $2,841.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,349.17 / $2,736.91 / $2,819.02