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Chickenpox and Shingles Immune Globulin

Montana 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 $178 · 10th–90th $138$64,5650%50%10th90th$178Professionalmedian $2,455 · 10th–90th $138$2,8180%20%40%10th90th$2,455$100.0$500.0$2.0K$10.0K$50.0K

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
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,454.71
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$64,565.42
Typical High
$89,125.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$2,691.53
Typical High
$2,691.53
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$177.83
Typical High
$204.17
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$177.83
Typical High
$204.17
Providence
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$97.72
Typical High
$2,691.53
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
United
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$3,019.95