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Arizona rates for HCPCS J2788

Rho D Immune Globulin 50 Mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.38 / $51.18 / $363.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.14 / $32.24 / $63.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.29 / $87.90 / $134.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.54 / $26.97 / $162.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.14 / $25.59 / $25.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $25.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.86 / $43.82 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $27.86 / $27.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $25.59