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Arizona rates for HCPCS J2791

Injection, Rho D immune globulin (human), (Rhophylac), intramuscular or intravenous, 100 IU

Facilitymedian $22 · 10th–90th $7–$2400%5%10th90th$22Professionalmedian $8 · 10th–90th $4–$1820%10%10th90th$8$5.0$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $95.50 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $8.13 / $181.97
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $18.20 / $32.36
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $9.33 / $33.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $7.94 / $9.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $4.79
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $7.76 / $75.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $8.13 / $8.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $4.90