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New York 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
$82.57 / $164.84 / $275.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.14 / $91.74 / $209.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.83 / $82.58 / $166.37
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.98 / $78.98 / $82.94
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.98 / $78.98 / $78.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.90 / $77.90 / $83.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.57 / $82.57 / $82.57
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.90 / $116.85 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.59 / $89.59 / $106.72
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.58 / $82.58 / $89.59
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.58 / $82.58 / $89.59
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.38 / $104.15 / $329.71
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.90 / $77.90 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.57 / $100.60 / $118.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.58 / $82.58 / $130.53
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.59 / $89.59 / $89.59
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.84 / $82.58 / $89.59