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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
$322.23 / $322.23 / $322.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.48 / $92.93 / $208.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.83 / $295.54 / $468.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.67 / $79.52 / $526.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.77 / $92.77 / $92.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.77 / $92.77 / $92.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.49 / $120.82 / $166.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.60 / $99.40 / $130.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.60 / $99.40 / $130.53