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Utah 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 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $83.18 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $117.49 / $181.97
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $91.20
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $128.82 / $128.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $100.00 / $102.33