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Rhode Island rates for HCPCS J2790

Rho D Immune Globulin Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.20 / $272.31 / $435.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.58 / $83.40 / $142.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.42 / $82.42 / $87.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.58 / $82.58 / $82.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.90 / $82.57 / $82.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.57 / $82.57 / $82.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.58 / $82.58 / $126.14