go back

Utah rates for HCPCS J2788

Injection, Rho D immune globulin, human, minidose, 50 mcg (250 IU)

Facilitymedian $26 · 10th–90th $26–$340%50%90th$26Professionalmedian $26 · 10th–90th $22–$280%20%40%10th90th$26$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $25.70 / $28.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $33.88 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $27.54
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $27.54 / $27.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91