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North Carolina rates for HCPCS J2788

Rho D Immune Globulin 50 Mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.47 / $44.72 / $78.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.47 / $25.59 / $44.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.91 / $42.49 / $67.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.74 / $27.74 / $28.91
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 / $35.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.47 / $30.45 / $39.39
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.96 / $25.96 / $25.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $33.27
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $108.44