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Maine 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
$59.37 / $59.37 / $63.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.61 / $33.71 / $33.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.12 / $79.12 / $79.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $25.59
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $30.99
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.37 / $59.37 / $63.98
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.61 / $33.71 / $63.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $37.11