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Maryland 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
$27.86 / $27.86 / $105.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $37.33
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $27.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $32.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $32.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $27.13
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.56 / $24.56 / $24.56