go back

South Dakota rates for HCPCS 90385

Rho(D) Immune Globulin Human Mini-Dose Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.44 / $30.44 / $30.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.44 / $30.44 / $33.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $33.42 / $36.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.92 / $51.44 / $83.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.81 / $33.81 / $44.31
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.89 / $79.12 / $99.06
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.25 / $79.05 / $103.56
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.44 / $30.44 / $30.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.74 / $33.81 / $35.81
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.84 / $29.84 / $29.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.84 / $29.84 / $29.84