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Indiana rates for HCPCS J2788

Rho D Immune Globulin 50 Mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.85 / $57.70 / $126.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.85 / $27.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.87 / $51.18 / $76.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.75 / $25.59 / $36.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.59 / $25.59 / $38.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $31.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.59 / $25.59 / $25.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.34 / $25.59 / $66.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $34.18