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Vermont rates for HCPCS J2790

Rho D Immune Globulin Inj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.58 / $91.74 / $141.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.48 / $93.48 / $93.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.90 / $87.35 / $145.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.57 / $82.57 / $82.57
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.90 / $87.35 / $145.58
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.57 / $82.57 / $82.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.45 / $82.58 / $127.03