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Rho D Immune Globulin (250 IU) Injection

Wisconsin rates for HCPCS J2788

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

Rates data updated July 2026.

Facilitymedian $35 · 10th–90th $28$830%10%10th90th$35Professionalmedian $28 · 10th–90th $28$830%20%40%90th$28$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
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$54.95
Typical High
$83.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$28.18
Typical High
$134.90
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$34.67
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$56.23
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$34.67
Typical High
$42.66
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$54.95
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$51.29
Typical High
$51.29
Medica
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$27.54
Typical High
$54.95
Medica
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$51.29
Molina
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$54.95
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$51.29
Typical High
$51.29
Quartz
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$40.74
Typical High
$77.62
Quartz
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$83.18
Typical High
$102.33
Quartz
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$30.20
Security Health
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$42.66
United
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$58.88
United
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$34.67