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Nebraska 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
$81.28 / $125.89 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $120.23 / $190.55
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $81.28 / $83.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $89.13 / $91.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $89.13 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $102.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $234.42 / $537.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $83.18 / $107.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $117.49 / $117.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $81.28 / $204.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $81.28 / $120.23