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Tennessee 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 / $397.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.48 / $84.49 / $84.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.77 / $92.77 / $92.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.77 / $92.77 / $92.77
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.51 / $275.97 / $372.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.83 / $91.37 / $130.53