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Nebraska 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
$67.20 / $84.49 / $272.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.49 / $109.84 / $186.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.72 / $140.72 / $140.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.57 / $89.18 / $90.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.50 / $92.77 / $95.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.13 / $221.87 / $372.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.83 / $91.11 / $130.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.09 / $172.86 / $193.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.94 / $172.86 / $229.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.83 / $93.60 / $124.25