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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
$5.01 / $549.54 / $870.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $120.23 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $38.02 / $58.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $7.24 / $13.18