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Missouri rates for HCPCS J2790

Injection, Rho D immune globulin, human, full dose, 300 mcg (1500 IU)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.97 / $99.40 / $193.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.14 / $91.65 / $118.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.58 / $86.71 / $217.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.58 / $82.58 / $103.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.90 / $77.90 / $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
$78.75 / $102.63 / $368.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.06 / $82.42 / $95.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.19 / $82.58 / $101.00