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Missouri 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
$26.36 / $30.92 / $37.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $28.14 / $37.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.89 / $43.50 / $67.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $31.99
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.86 / $49.97 / $108.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.62 / $27.86 / $32.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.75 / $25.59 / $29.61