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Michigan rates for HCPCS J2791

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

Facilitymedian $102 · 10th–90th $5$2340%10%10th90th$102Professionalmedian $5 · 10th–90th $4$1290%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
$5.01
Median
$123.03
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$5.01
Typical High
$131.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$10.47
Typical High
$21.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$4.57
Typical High
$4.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$4.90
Typical High
$4.90
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$15.49
Typical High
$234.42
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$5.37
Typical High
$13.80
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$4.90
Typical High
$4.90
United
Setting
Facility
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$8.13
United
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$5.13