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Idaho rates for HCPCS J2788

Rho D Immune Globulin 50 Mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.86 / $27.86 / $32.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $28.15 / $33.71
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.15 / $33.90 / $50.57
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $31.99
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.71 / $30.71 / $31.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $35.83