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Utah rates for HCPCS J2790

Rho D Immune Globulin Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.79 / $477.68 / $630.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.77 / $95.79 / $137.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.51 / $110.13 / $126.61
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 / $82.58