go back

Montana rates for HCPCS J2791

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

Facilitymedian $6 · 10th–90th $5$6920%20%40%10th90th$6Professionalmedian $10 · 10th–90th $4$1820%20%10th90th$10$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$81.28
Median
$81.28
Typical High
$691.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$13.49
Typical High
$186.21
BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$46,773.51
Typical High
$91,201.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$14.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$5.62
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$5.13
Median
$5.13
Typical High
$14.79
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$5.13
Typical High
$14.79
Providence
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$14.13
Providence
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$6.92
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$4.79