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North Dakota 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
$2,326.36 / $2,326.37 / $2,326.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,394.80 / $2,406.77 / $2,437.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,035.58 / $2,403.17 / $2,437.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,182.50 / $2,204.33 / $2,728.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.44 / $2,326.37 / $6,979.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,551.33 / $2,584.10 / $2,736.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,248.05 / $2,584.10 / $2,654.57