go back

Massachusetts 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
$6.76 / $134.90 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $8.71 / $169.82
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $12.02 / $16.22
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $11.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $4.79 / $9.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $56.23 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $9.77
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $8.13 / $8.13
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $12.02 / $16.22
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $11.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $8.13 / $10.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $11.48