go back

Maine 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
$89.13 / $309.03 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $85.11 / $128.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $263.03 / $263.03
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $100.00 / $114.82
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $309.03
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $85.11 / $128.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $85.11 / $147.91