go back

Montana rates for HCPCS 90385

Rho(D) immune globulin (RhIg), human, mini-dose, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.44 / $30.44 / $33.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.94 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.03 / $72.03 / $125.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.42 / $33.42 / $72.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.03 / $72.03 / $125.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.42 / $56.37 / $85.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.74 / $34.74 / $36.89