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Texas rates for HCPCS J2791

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

Facilitymedian $126 · 10th–90th $9$6030%5%10th90th$126Professionalmedian $5 · 10th–90th $4$1200%20%40%10th90th$5$2.0$10.0$50.0$200.0$1.0K

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
$8.91
Median
$186.21
Typical High
$630.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$4.90
Typical High
$120.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$24.55
Typical High
$45.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$6.03
Baylor Scott & White
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$12.30
Typical High
$416.87
Christus
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.13
Median
$11.75
Typical High
$33.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$4.79
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$144.54
Typical High
$602.56
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$5.37
Typical High
$120.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$4.90
Typical High
$5.01
Providence
Setting
Facility
Modifier
Global
Typical Low
$4.79
Median
$6.92
Typical High
$15.14
Providence
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$4.79
United
Setting
Facility
Modifier
Global
Typical Low
$5.89
Median
$8.13
Typical High
$8.13
United
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$4.90