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Wyoming 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
$82.42 / $213.36 / $213.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.42 / $82.58 / $207.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.49 / $99.40 / $99.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.90 / $77.90 / $77.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.57 / $82.57 / $116.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.58 / $82.58 / $82.58