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Colorado rates for HCPCS J2791

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.94 / $164.24 / $1,781.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $5.27 / $6.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.22 / $8.75 / $15.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $4.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.58 / $4.58 / $6.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $4.86
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.97 / $7.10 / $8.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.65 / $5.34 / $7.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $4.86