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Nevada 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
$12.02 / $346.74 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $5.01 / $199.53
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $5.13 / $6.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.13 / $5.13 / $15.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.90 / $4.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $10.96 / $10.96
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $12.30