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Virginia rates for HCPCS J2788

Rho D Immune Globulin 50 Mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.59 / $31.94 / $63.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $26.87 / $26.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $25.59
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.39 / $40.28 / $60.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.14 / $24.14 / $25.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $25.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.75 / $30.71 / $35.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.59 / $30.92 / $49.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.00 / $29.00 / $29.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.31 / $28.68 / $34.02
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.31 / $28.68 / $34.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.82 / $25.59 / $32.11