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Texas 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
$99.40 / $99.40 / $249.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.49 / $99.40 / $122.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.00 / $278.41 / $555.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.85 / $89.85 / $89.85
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.97 / $89.97 / $115.00
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
$179.17 / $275.97 / $372.75
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.40 / $108.60 / $142.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.70 / $91.70 / $91.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.89 / $92.77 / $142.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.77 / $92.77 / $131.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.69 / $97.74 / $130.53
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.83 / $82.83 / $111.82