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Chickenpox and Shingles Immune Globulin

Wisconsin 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 $2,754 · 10th–90th $2,344$6,0260%20%10th90th$2,754Professionalmedian $2,399 · 10th–90th $126$2,5120%50%10th90th$2,399$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,454.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,454.71
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$5,128.61
Typical High
$5,248.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$2,398.83
Typical High
$2,398.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$5,248.07
Typical High
$8,912.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$263.03
Typical High
$2,754.23
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$218.78
Typical High
$2,754.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$2,344.23
Typical High
$2,754.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,630.27
Typical High
$3,801.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$54.95
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,398.83
Typical High
$2,398.83
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$218.78
Typical High
$2,754.23
Quartz
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$269.15
Typical High
$354.81
Quartz
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$9,549.93
Typical High
$11,748.98
Quartz
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$2,691.53
Typical High
$2,691.53
Security Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,818.38
Typical High
$4,073.80