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Kansas 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 / $114.82 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $5.01 / $128.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $5.01 / $6.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $6.17 / $6.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $5.25
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 / $4.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $7.59 / $8.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $5.01 / $8.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $4.79 / $10.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $8.13