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Ohio 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
$82.99 / $179.20 / $337.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.57 / $104.53 / $285.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.87 / $193.24 / $536.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.58 / $82.58 / $148.16
Aultcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.66 / $110.66 / $110.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.42 / $82.58 / $123.98
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.42 / $82.58 / $111.48
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 / $132.93
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.90 / $111.44 / $377.85
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.57 / $82.57 / $132.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.66 / $103.22 / $119.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.58 / $82.58 / $108.18