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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
$8.51 / $158.49 / $1,071.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $5.01 / $75.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $9.55 / $18.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.57 / $4.57 / $6.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $28.18 / $28.18
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79