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Oregon rates for HCPCS 90396

Varicella-zoster immune globulin, human, for intramuscular use

Facilitymedian $204 · 10th–90th $186–$3,7150%50%10th90th$204Professionalmedian $2,344 · 10th–90th $2,344–$2,3440%50%$2,344$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $2,344.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $2,344.23 / $2,344.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $5,128.61 / $5,128.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $2,691.53 / $2,691.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $257.04 / $275.42
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $4,677.35 / $5,888.44
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $2,344.23 / $4,677.35
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $204.17 / $204.17
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $3,311.31 / $6,760.83
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $147.91 / $2,691.53
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $3,630.78 / $7,244.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $4,897.79 / $5,623.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $2,884.03 / $3,019.95