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Rho D Immune Globulin (Rhophylac) Injection

Maine rates for HCPCS J2791

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

Rates data updated July 2026.

How much does Rhophylac cost?

$5.01per 100 IU

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $5.01 for each 100 IU of this drug. The price depends on where it is billed: about $5.01 from a physician practice, and about $12.02 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 100 IU. Enter the amount given to see what insurers have agreed to pay for it.

IU
In a doctor's office or clinic
$5.01
At a hospital outpatient department
$12.02

The same drug, in the same amount, costs 140% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5.01$4.79 to $5.01
FacilityA hospital or hospital-owned outpatient department$12.02$6.46 to $19.95

How much rates vary

Facilitymedian $12 · 10th to 90th $5 to $302Professionalmedian $5 · 10th to 90th $5 to $6
$5$10$20$50$100$200facility $12professional $5

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$12.02
Typical High
$302.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$5.01
Typical High
$5.89
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
$11.22
Typical High
$52.48
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$7.24
United
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$7.08

Where Maine sits

The same service costs 4.6 times more in Maryland than in Vermont. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maine· 44th of 51

$5.01

MD $21.88VT $4.79

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.