Rho(D) immune globulin injection, full dose

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

RHOGAM

Payers reporting CPT 90384

Payer pricing summary

Low

Average

$2.4k

Median

$199

High

$53.5k

Payer rate distribution

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Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +23 other terms	402	$217	$208	$110	53%	—	$15 – $816
2	Cigna fee schedule · outpatient · +18 other terms	215	$156	$261	$193	74%	—	$77 – $793
3	Blue Cross Blue Shield fee schedule · outpatient · +23 other terms	199	$223	$286	$176	62%	—	$0 – $793
4	Aetna fee schedule · outpatient · +21 other terms	103	$106	$409	$1.2k	283%	—	$1 – $8.4k
5	Humana fee schedule · outpatient · +16 other terms	87	$365	$552	$945	171%	—	$1 – $8.3k
6	Anthem fee schedule · outpatient · +18 other terms	60	$120	$139	$70	50%	—	$28 – $513
7	Bcbs Tx fee schedule · outpatient · +3 other terms	31	$472	$428	$149	35%	—	$82 – $749
8	Molina facility · case rate · outpatient · +11 other terms	27	$121	$113	$40	35%	—	$65 – $218
9	Tricare facility · fee schedule · outpatient · +5 other terms	18	$370	$10.2k	$19.4k	189%	—	$88 – $50k
10	Regence facility · fee schedule · both · +9 other terms	17	$83	$86	$17	19%	—	$41 – $164
11	Caresource facility · case rate · outpatient · +6 other terms	16	$129	$134	$35	26%	—	$87 – $222
12	Premera facility · fee schedule · both · +5 other terms	16	$83	$85	$5	5%	—	$83 – $101
13	Carefirst facility · fee schedule · both · +1 other terms	15	$83	$84	$4	4%	—	$83 – $94
14	Excellus facility · fee schedule · both · +3 other terms	15	$83	$84	$4	4%	—	$83 – $94
15	Highmark facility · fee schedule · both · +11 other terms	15	$83	$84	$4	4%	—	$83 – $94
16	Wellmark facility · fee schedule · both · +12 other terms	15	$83	$84	$3	4%	—	$83 – $94
17	Aetna Better Health fee schedule · outpatient · +7 other terms	14	$87	$86	$3	3%	—	$77 – $87
18	Optum facility · case rate · outpatient · +9 other terms	13	$116	$122	$37	31%	—	$62 – $197
19	Bcbs Mn fee schedule · outpatient · +5 other terms	12	$126	$120	$35	29%	—	$65 – $157
20	Bcbs Nj fee schedule · outpatient · +4 other terms	12	$83	$83	—	—	—	$83 – $83
21	Kaiser facility · fee schedule · both · +10 other terms	12	$83	$57	$34	59%	—	$9 – $94
22	Medica fee schedule · both · +8 other terms	10	$135	$131	$34	26%	—	$0 – $166
23	Bcbs Il professional · fee schedule · both · +2 other terms	9	$50	$34	$49	144%	—	$0 – $136
24	Ucare fee schedule · both · +5 other terms	9	$117	$117	$3	3%	—	$114 – $121
25	WellCare professional · fee schedule · both · +7 other terms	9	$9	$8	$19	236%	—	$0 – $53

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