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Rhode Island 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
$83.17 / $83.17 / $83.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $26.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.86 / $27.86 / $30.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $25.59
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $25.59