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Tennessee rates for HCPCS J2788

Rho D Immune Globulin 50 Mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.59 / $36.22 / $59.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $33.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.81 / $35.81 / $35.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.59 / $25.59 / $25.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $25.59
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $108.44 / $108.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $30.44