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Maine rates for HCPCS J2791

Injection, Rho D immune globulin (human), (Rhophylac), intramuscular or intravenous, 100 IU

Facilitymedian $14 · 10th–90th $6$7080%20%10th90th$14Professionalmedian $5 · 10th–90th $4$60%20%10th90th$5$5.0$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$169.82
Typical High
$707.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$5.01
Typical High
$6.76
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$4.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$5.50
Typical High
$13.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$4.79
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$5.89
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$6.46
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$5.01
Typical High
$8.51
United
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$7.08