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Missouri 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
$79.43 / $100.00 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $83.18 / $141.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $74.13 / $74.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $144.54 / $223.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $102.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $95.50 / $95.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $144.54 / $371.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $100.00 / $131.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $204.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $97.72 / $131.83