go back

Minnesota 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
$3.98 / $8.13 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $5.01 / $158.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $9.77 / $9.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $4.79 / $4.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $16.22 / $19.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.75 / $6.31
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $15.49 / $18.20
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $4.90 / $6.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $11.75 / $21.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $6.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $8.91