90384 Medicaid Rate by State

Rho(D) immune globulin, full dose, intramuscular

18 state Medicaid programs publish a fee-for-service rate for 90384 (rho(D) immune globulin, full dose, intramuscular), ranging from $10.00 in Pennsylvania to $118.00 in Montana.

Every state, kept current

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This page shows one representative rate per state for 90384. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

18

Median % of Medicare

--

Rate range

$10.00 - $118.00

90384 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Arizona$85.31----2026
Iowa$77.55----2024
Idaho$108.53--Not required2025
Illinois$74.81----2026
Indiana$89.58----2026
Kansas$85.31----2026
Kentucky$53.06----2026
Maine$114.63----2026
Michigan$83.36----2026
Minnesota$117.52----2025
Mississippi$75.52----2020
Montana$118.00----2026
North Carolina$99.00----2025
New Mexico$68.81----2025
Pennsylvania$10.00----2023
Virginia$112.09----2000
Wisconsin$96.00----2010
Wyoming$73.63----2021

Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * are representative published variants or methodology-derived rates. "--" in the prior-auth column means the state publishes no PA flag.

Related physician codes

All 122 codes from 90371 to 90999 or every physician code by number.

Frequently asked questions

How much does Medicaid pay for 90384?

18 state Medicaid programs publish a fee-for-service rate for 90384 (rho(D) immune globulin, full dose, intramuscular), ranging from $10.00 in Pennsylvania to $118.00 in Montana. The full table on this page lists every publishing state's current rate.

Which state pays the most for 90384?

Montana publishes the highest Medicaid rate for 90384 at $118.00. Pennsylvania publishes the lowest at $10.00.

Does 90384 require prior authorization under Medicaid?

No publishing state flags 90384 with a prior-authorization indicator on its fee schedule. Absence of a flag means the state publishes none, not that PA is never required - confirm through the state's provider manual.