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Louisiana rates for HCPCS J2788

Rho D Immune Globulin 50 Mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.59 / $28.69 / $61.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.85 / $33.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.98 / $27.34 / $38.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.98 / $25.98 / $26.50
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.14 / $24.14 / $25.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $25.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $35.81