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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
$84.48 / $84.48 / $109.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.74 / $157.74 / $274.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.77 / $92.77 / $157.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.74 / $157.74 / $274.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.77 / $123.50 / $186.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.60 / $93.60 / $99.40