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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
$84.49 / $84.49 / $84.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.48 / $84.49 / $92.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.72 / $284.14 / $537.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.50 / $123.50 / $130.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.03 / $92.77 / $93.86
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.49 / $87.80 / $99.40
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.48 / $87.80 / $105.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.04 / $125.04 / $125.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.83 / $99.40 / $130.53