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West Virginia 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
$25.85 / $28.14 / $30.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $28.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.59 / $38.39 / $38.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.14 / $25.59 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $48.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $35.81