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Vermont rates for HCPCS J2788

Rho D Immune Globulin 50 Mcg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $47.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.97 / $28.97 / $28.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.14 / $26.74 / $44.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $25.59
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.14 / $26.74 / $44.56
MVP Health Care
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 / $30.44