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South Carolina 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 / $85.11 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $83.18 / $107.15
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $83.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $173.78 / $316.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $107.15 / $123.03
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $102.33 / $125.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $95.50 / $131.83