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Illinois 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
$83.18 / $138.04 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $85.11 / $239.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $63.10 / $89.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $371.54 / $1,230.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $23.99 / $263.03
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.78 / $19.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $77.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $213.80 / $213.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $100.00 / $131.83