go back

Utah rates for HCPCS 90376

Rabies immune globulin, heat-treated (RIg-HT), human, for intramuscular and/or subcutaneous use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $9,772.37 / $11,220.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $537.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $676.08 / $933.25
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $1,071.52
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $1,000.00 / $1,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $537.03 / $537.03