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Maryland rates for HCPCS J2790

Rho D Immune Globulin Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.57 / $149.13 / $432.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.14 / $83.40 / $190.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.43 / $82.43 / $82.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.57 / $82.57 / $105.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.58 / $82.58 / $117.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.58 / $82.58 / $87.53
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.36 / $83.36 / $83.36