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Nebraska 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
$27.86 / $30.92 / $56.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $27.86 / $63.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.73 / $28.97 / $28.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.52 / $28.96 / $31.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.08 / $25.59 / $30.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.41 / $53.31 / $108.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.62 / $27.86 / $35.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.34 / $30.98 / $34.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.99 / $31.62 / $64.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.31 / $25.59 / $28.15