go back

Iowa rates for HCPCS J2788

Rho D Immune Globulin 50 Mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.92 / $30.92 / $61.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $30.92 / $63.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.08 / $25.72 / $30.09
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.60 / $25.59 / $56.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.34 / $30.92 / $36.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $27.86 / $48.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.88 / $31.93 / $35.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.99 / $31.19 / $51.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $26.36
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.86 / $27.86 / $27.86
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $27.86 / $27.86