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Utah rates for HCPCS J2788

Rho D Immune Globulin 50 Mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.69 / $29.69 / $32.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.69 / $29.69 / $29.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.73 / $33.71 / $37.29
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