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Connecticut 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
$128.82 / $154.88 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $83.18 / $173.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $134.90 / $251.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $87.10 / $87.10
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
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $91.20 / $91.20
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $102.33 / $102.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $85.11 / $120.23