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North Carolina rates for HCPCS 90396

Varicella-Zoster Immune Globulin Human Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,226.21 / $2,226.21 / $2,559.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,226.21 / $2,226.21 / $2,326.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,507.45 / $1,507.45 / $2,394.80
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 / $2,736.91
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,226.21 / $2,359.79 / $3,010.60
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.13 / $99.13 / $99.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,349.17 / $2,631.08 / $2,819.02
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.06 / $2,600.06 / $11,809.10