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Michigan rates for HCPCS J2790

Rho D Immune Globulin Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.09 / $143.47 / $236.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.47 / $85.05 / $158.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.72 / $284.14 / $537.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.31 / $64.31 / $67.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.06 / $113.06 / $113.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.57 / $82.57 / $106.03
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.58 / $155.24 / $264.89
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.83 / $84.90 / $148.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.73 / $94.78 / $94.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.58 / $82.58 / $87.62