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Montana rates for HCPCS 90384

Rho(D) immune globulin (RhIg), human, full-dose, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $85.11 / $120.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $158.49 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $158.49
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $173.78 / $199.53
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $173.78 / $199.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $158.49 / $275.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $95.50 / $194.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $95.50 / $102.33