Rho(D) immune globulin, intravenous

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 IM INJECTION

Payers reporting CPT 90386

Payer pricing summary

Low

Average

$2.9k

Median

$101

High

$37.5k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +13 other terms	381	$1.1k	$1.1k	$618	57%	—	$9 – $4.1k
2	Cigna fee schedule · outpatient · +10 other terms	207	$19	$33	$25	76%	—	$11 – $173
3	Blue Cross Blue Shield fee schedule · outpatient · +15 other terms	175	$32	$68	$155	228%	—	$0 – $942
4	Aetna fee schedule · outpatient · +11 other terms	98	$16	$352	$1.3k	357%	—	$10 – $8.4k
5	Humana fee schedule · outpatient · +9 other terms	83	$30	$294	$1.1k	372%	—	$10 – $8.3k
6	Anthem fee schedule · outpatient · +8 other terms	59	$22	$142	$288	203%	—	$10 – $2.4k
7	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$42	$38	$13	33%	—	$16 – $66
8	Molina facility · case rate · outpatient · +5 other terms	29	$2.5k	$2.5k	$1.2k	48%	—	$1.1k – $5.4k
9	Caresource facility · case rate · outpatient · +2 other terms	15	$3.3k	$3.5k	$805	23%	—	$2.2k – $5.5k
10	Optum facility · case rate · outpatient · +6 other terms	13	$2.9k	$3.0k	$1.1k	36%	—	$1.1k – $4.9k
11	Wellmark fee schedule · both · +3 other terms	13	$36	$36	$1	3%	—	$36 – $44
12	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$246	$170	$121	71%	—	$37 – $308
13	Bcbs Nj fee schedule · outpatient	12	$10	$10	—	—	—	$10 – $10
14	Regence fee schedule · outpatient · +3 other terms	12	$122	$127	$36	29%	—	$86 – $317
15	Highmark fee schedule · outpatient · +4 other terms	11	$15	$114	$688	605%	—	$12 – $6.6k
16	Medica fee schedule · outpatient · +4 other terms	10	$20	$20	$5	25%	—	$12 – $25
17	Aetna Better Health fee schedule · inpatient · +5 other terms	9	$10	$122	$209	171%	—	$10 – $513
18	Premera fee schedule · outpatient · +1 other terms	9	$22	$20	$3	17%	—	$15 – $26
19	Amerihealth Caritas facility · case rate · outpatient · +5 other terms	7	$1.2k	$1.3k	$40	3%	—	$1.2k – $1.4k
20	Bcbs La fee schedule · outpatient · +1 other terms	6	$39	$39	$1	2%	—	$39 – $41
21	Excellus facility · fee schedule · outpatient	5	$59	$66	$42	63%	—	$36 – $173
22	First Health facility · fee schedule · outpatient · +1 other terms	4	$25	$25	—	—	—	$25 – $25
23	Medicaid facility · case rate · outpatient · +2 other terms	4	$570	$570	$560	98%	—	$10 – $1.1k
24	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$42	$42	—	—	—	$42 – $42
25	Sanford Health Plan fee schedule · outpatient · +1 other terms	3	$37	$37	—	—	—	$37 – $37

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