| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.59 | $151.59 | $151.59 | |
Aetna
| Professional | $84.48 | $84.48 | $84.48 | |
Cigna
| Professional | $92.77 | $92.77 | $92.77 | |
United
| Professional | $124.25 | $130.53 | $150.11 |
Rho(D) Immune Globulin Human Full-Dose Im
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.59 | $151.59 | $151.59 | |
Aetna
| Professional | $84.48 | $84.48 | $84.48 | |
Cigna
| Professional | $92.77 | $92.77 | $92.77 | |
United
| Professional | $124.25 | $130.53 | $150.11 |