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Alaska rates for HCPCS 90384

Rho(D) immune globulin (RhIg), human, full-dose, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.41 / $158.41 / $592.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.48 / $84.49 / $126.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.77 / $92.77 / $92.77
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.24 / $181.24 / $181.24
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.45 / $86.45 / $123.50
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.16 / $139.16 / $218.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.16 / $181.24 / $328.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.45 / $92.77 / $123.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.83 / $82.83 / $130.53