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Washington 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 / $85.11 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $85.11 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $95.50 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $50.12 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $199.53 / $199.53
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $177.83 / $251.19
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $100.00 / $100.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $151.36 / $281.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $131.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $95.50 / $131.83
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $83.18 / $83.18