go back

New Hampshire rates for HCPCS J2791

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

Facilitymedian $9 · 10th–90th $5$3090%10%10th90th$9Professionalmedian $5 · 10th–90th $4$90%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
$4.79
Median
$6.17
Typical High
$309.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$4.79
Typical High
$5.37
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$10.23
Typical High
$17.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$5.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$9.55
Typical High
$13.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$4.79
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$8.51
Typical High
$9.33
United
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$9.77