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Arizona 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
$323.59 / $323.59 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $85.11 / $208.93
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $147.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $229.09 / $338.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $162.18 / $398.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $120.23 / $165.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $100.00 / $131.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $213.80 / $213.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $100.00 / $131.83