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Maine rates for HCPCS J2790

Rho D Immune Globulin Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.76 / $206.45 / $1,440.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.57 / $85.88 / $113.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.33 / $255.33 / $255.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.58 / $82.58 / $82.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.57 / $82.57 / $82.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.57 / $82.57 / $82.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.25 / $82.25 / $99.60
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.76 / $191.59 / $713.14
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.40 / $85.91 / $144.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.25 / $82.58 / $130.53