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Delaware 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
$5.16 / $579.60 / $877.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $11.59 / $72.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $4.86
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $45.75 / $57.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $7.29 / $12.73