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Arizona rates for HCPCS J2790

Rho D Immune Globulin Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.24 / $299.77 / $954.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.57 / $104.76 / $257.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.22 / $274.17 / $439.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.35 / $74.69 / $525.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.40 / $82.57 / $82.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.57 / $82.57 / $82.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.03 / $102.63 / $166.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.42 / $82.42 / $82.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.58 / $82.58 / $82.58