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Oregon rates for HCPCS J2791

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

Facilitymedian $10 · 10th–90th $5–$2820%10%10th90th$10Professionalmedian $5 · 10th–90th $4–$1860%10%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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $11.75 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.37 / $186.21
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $6.92 / $10.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $5.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $12.02 / $12.88
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $5.13 / $36.31
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $5.13 / $8.91
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $4.90 / $10.00
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $6.92 / $14.45
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $5.37 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $4.90