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Nebraska rates for HCPCS J2791

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

Facilitymedian $9 · 10th–90th $5$1950%10%20%10th90th$9Professionalmedian $120 · 10th–90th $5$1820%20%40%10th90th$120$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
$4.79
Median
$9.55
Typical High
$331.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$120.23
Typical High
$181.97
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$5.50
Typical High
$5.50
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$5.25
Typical High
$5.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$5.37
Typical High
$5.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$4.90
Typical High
$6.17
Medica
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$12.59
Typical High
$100.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$5.01
Typical High
$7.08
Midlands
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$5.89
United
Setting
Facility
Modifier
Global
Typical Low
$4.79
Median
$5.89
Typical High
$12.88
United
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$4.79
Typical High
$7.24