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Louisiana rates for HCPCS J2788

Injection, Rho D immune globulin, human, minidose, 50 mcg (250 IU)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $23.99 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $22.91 / $25.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $27.54 / $27.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $28.18
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $21.88 / $22.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $22.91 / $22.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $28.84 / $51.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $22.91 / $30.90