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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
$84.49 / $84.49 / $84.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.48 / $84.49 / $118.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.50 / $92.77 / $95.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.20 / $142.79 / $231.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.11 / $91.11 / $97.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.34 / $172.86 / $193.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.94 / $173.44 / $226.21
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.49 / $84.49 / $84.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.11 / $91.11 / $93.60
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.83 / $82.83 / $82.83
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.83 / $82.83 / $82.83