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Florida 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
$12.59 / $234.42 / $831.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $5.01 / $123.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $5.13 / $5.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.57 / $4.79 / $4.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $5.25
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.90
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.90 / $4.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $8.13 / $8.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $5.13
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79