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Michigan 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 / $85.11 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $83.18 / $128.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $89.13 / $95.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $186.21 / $371.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $100.00 / $316.23
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $109.65 / $147.91
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $213.80 / $213.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $102.33 / $131.83