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North Dakota rates for HCPCS 90396

Varicella-zoster immune globulin, human, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $2,344.23 / $2,344.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,344.23 / $2,344.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $2,454.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,398.83 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $2,754.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $2,344.23 / $6,918.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,570.40 / $2,754.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,570.40 / $2,884.03