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Rho D Immune Globulin (250 IU) Injection

Montana rates for HCPCS J2788

Injection, Rho D immune globulin, human, minidose, 50 mcg (250 IU)

Rates data updated July 2026.

Facilitymedian $28 · 10th–90th $23$3160%20%10th90th$28Professionalmedian $32 · 10th–90th $23$660%20%10th90th$32$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$33.11
Typical High
$66.07
BCBS
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$144.54
Typical High
$89,125.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$27.54
Typical High
$27.54
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$23.44
Typical High
$72.44
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$23.44
Typical High
$72.44
Providence
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$75.86
Providence
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$38.90
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$22.91