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South Dakota 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 / $83.18 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $93.33 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $77.62 / $95.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $141.25 / $229.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $91.20 / $97.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $173.78 / $173.78
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $93.33 / $114.82
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $83.18 / $83.18