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West Virginia rates for HCPCS J2790

Rho D Immune Globulin Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.52 / $194.58 / $342.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.57 / $83.40 / $176.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.58 / $82.58 / $123.87
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.46 / $191.46 / $191.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.90 / $82.57 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.57 / $82.57 / $145.88
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.82 / $170.81 / $317.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.58 / $82.58 / $130.53