go back

Wyoming rates for HCPCS 90396

Varicella-zoster immune globulin, human, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,326.36 / $2,326.36 / $2,326.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,326.37 / $2,736.91 / $2,736.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,554.44 / $2,554.44 / $2,554.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,584.10 / $2,736.91 / $2,819.02