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Louisiana 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
$84.49 / $84.49 / $242.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.48 / $84.49 / $84.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.43 / $94.43 / $141.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.43 / $94.43 / $96.32
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.70 / $93.60 / $130.53