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Ohio 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
$85.11 / $112.20 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $83.18 / $125.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $63.10 / $63.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $181.97 / $549.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $128.82 / $190.55
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
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 / $144.54
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $95.50 / $204.17
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $144.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $199.53 / $234.42
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $123.03 / $208.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $100.00 / $131.83