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North Carolina 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
$76.83 / $158.51 / $307.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.83 / $99.73 / $160.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.79 / $134.52 / $167.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.23 / $78.23 / $85.54
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 / $99.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.83 / $98.27 / $109.34
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.13 / $86.13 / $86.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.58 / $82.58 / $110.95
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.85 / $139.19 / $368.04