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Pennsylvania 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
$83.18 / $107.15 / $416.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $83.18 / $158.49
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $120.23 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
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
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $97.72 / $97.72
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $208.93 / $398.11
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $141.25 / $416.87
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $85.11 / $245.47
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $102.33 / $147.91
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $147.91 / $407.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $104.71 / $151.36