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New Hampshire rates for HCPCS J2788

Rho D Immune Globulin 50 Mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.86 / $31.20 / $55.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $27.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.59 / $38.39 / $105.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $27.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.14 / $25.59 / $25.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $25.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.72 / $42.61 / $78.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $25.59
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $35.36 / $53.41