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Pennsylvania rates for HCPCS J2788

Rho D Immune Globulin 50 Mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.85 / $65.19 / $84.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.85 / $63.80
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.60 / $27.76 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.56 / $26.56 / $26.56
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
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.14 / $55.44 / $84.69
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $28.14 / $84.69
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.14 / $25.59 / $25.59
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $25.59
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.34 / $24.34 / $28.24
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.34 / $24.34 / $28.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $36.14