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Washington rates for HCPCS J2788

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.15 / $47.06 / $61.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $28.15 / $37.58
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.59 / $28.96 / $108.44
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $26.65 / $35.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.14 / $24.14 / $47.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $31.39
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.59 / $31.99 / $76.77
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.96 / $29.72 / $29.72
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.10 / $26.65 / $35.81
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.59 / $25.59 / $29.24
Regence BlueShield
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