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Utah rates for HCPCS 90375

Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $6,456.54 / $11,748.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $281.84 / $398.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $426.58 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $588.84 / $1,071.52
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $288.40 / $831.76
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $281.84 / $346.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $331.13 / $338.84