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Georgia 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 / $239.88 / $724.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $5.01 / $138.04
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $5.13 / $5.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $5.25 / $26.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $12.88 / $12.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.57 / $4.57 / $4.79
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
$4.79 / $13.18 / $13.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.13 / $9.55 / $13.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $12.30