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Rho D Immune Globulin (Rhophylac) Injection

Montana 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?

$6.17per 100 IU

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $6.17 for each 100 IU of this drug. The price depends on where it is billed: about $6.17 from a physician practice, and about $6.03 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
$6.17
At a hospital outpatient department
$6.03

The same drug, in the same amount, costs 2% less 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$6.17$5.13 to $12.02
FacilityA hospital or hospital-owned outpatient department$6.03$5.13 to $15.14

How much rates vary

Facilitymedian $6 · 10th to 90th $5 to $27Professionalmedian $6 · 10th to 90th $5 to $13
$10$100$1K$10K$100Kfacility $6professional $6

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
$18.62
Median
$21.38
Typical High
$22.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$8.91
Typical High
$13.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$26.92
Typical High
$89,125.09
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

Where Montana 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.

Montana· 32nd of 51

$6.17

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.