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Minnesota 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
$21.88 / $21.88 / $45.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $22.91 / $30.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $48.98 / $48.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $22.91 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $83.18 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $27.54 / $29.51
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $77.62 / $91.20
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $23.44 / $31.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $37.15 / $64.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $38.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $22.91 / $42.66