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Oregon 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
$4.79 / $36.31 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $5.89 / $186.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.57 / $6.92 / $9.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $5.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $10.72 / $12.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $5.13 / $147.91
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $5.37 / $8.71
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $6.03 / $10.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $6.92 / $14.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $5.37 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.90