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Washington 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 / $156.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.48 / $84.49 / $244.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.83 / $165.38 / $298.61
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.43 / $132.84 / $132.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.77 / $92.77 / $341.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.77 / $92.77 / $92.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $50.00 / $50.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $198.19 / $201.00
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.85 / $165.38 / $252.67
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.51 / $94.43 / $104.37
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.80 / $149.79 / $269.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.84 / $132.84 / $132.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.83 / $93.60 / $130.53