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Rho D Immune Globulin (Rhophylac) Injection

South Dakota rates for HCPCS J2791

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

Rates data updated July 2026.

Facilitymedian $5 · 10th–90th $5$120%50%90th$5Professionalmedian $5 · 10th–90th $5$100%20%40%10th90th$5$5.0$10.0

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
$9.33
Typical High
$11.75
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$5.89
Typical High
$10.00
Avera
Setting
Facility
Modifier
Global
Typical Low
$4.90
Median
$5.01
Typical High
$5.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$4.90
Typical High
$6.17
Medica
Setting
Facility
Modifier
Global
Typical Low
$5.89
Median
$8.32
Typical High
$13.49
Medica
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$5.01
Typical High
$5.01
Midlands
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$6.03
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$5.25
Typical High
$5.25
United
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$6.46
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$4.79
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$4.79