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Massachusetts rates for HCPCS 90384

Rho(D) Immune Globulin Human Full-Dose Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.13 / $62.17 / $161.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.49 / $84.49 / $130.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.49 / $211.56 / $279.92
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.83 / $93.60 / $130.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.32 / $120.49 / $256.85
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.03 / $140.03 / $164.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.81 / $84.49 / $175.47
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.87 / $304.39 / $304.39
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.51 / $143.51 / $275.97
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.83 / $130.53 / $130.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.83 / $130.53 / $130.53