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Utah rates for HCPCS 90384

Rho(D) Immune Globulin Human Full-Dose Im

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
$84.49 / $84.49 / $109.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.77 / $92.77 / $92.77
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.80 / $142.80 / $171.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.69 / $93.60 / $99.40