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Oklahoma 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 / $87.10 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $83.18 / $112.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $81.28 / $89.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $91.20 / $144.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $85.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $93.33 / $125.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $83.18 / $83.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $81.28 / $81.28