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Ohio 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
$25.59 / $55.53 / $85.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $27.86 / $63.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.39 / $59.88 / $166.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $44.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.59 / $25.59 / $43.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $34.54
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 / $47.89
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.14 / $24.14 / $25.59
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $48.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.14 / $33.06 / $39.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $33.52