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Washington, DC 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
$3.98 / $91.20 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $13.80 / $75.86
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $7.76 / $16.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.57 / $4.79 / $4.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $7.76