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West Virginia rates for HCPCS 90396

Varicella-zoster immune globulin, human, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,326.37 / $2,326.37 / $2,736.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,326.37 / $2,326.37 / $2,326.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.88 / $88.68 / $133.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,326.37 / $2,554.44 / $2,554.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,554.44 / $2,554.44 / $3,326.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,349.17 / $2,736.91 / $3,758.69