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New Hampshire 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
$562.34 / $562.34 / $562.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $83.18 / $85.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $177.83 / $316.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $87.10 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $144.54 / $165.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $85.11 / $131.83