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Illinois rates for HCPCS J2788

Rho D Immune Globulin 50 Mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.59 / $41.79 / $72.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $26.61 / $33.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.40 / $90.10 / $338.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.59 / $25.59 / $25.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $25.59
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.60 / $38.39 / $91.64
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.27 / $33.27 / $33.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $30.44