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Rho D Immune Globulin (Rhophylac) Injection

Washington rates for HCPCS J2791

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

Rates data updated July 2026.

Facilitymedian $9 · 10th–90th $5$120%20%40%10th90th$9Professionalmedian $7 · 10th–90th $5$130%10%20%10th90th$7$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
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$9.33
Typical High
$11.75
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$6.76
Typical High
$13.49
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$7.24
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$5.25
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$4.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$9.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$5.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$4.79
Median
$6.03
Typical High
$9.12
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$10.23
Typical High
$10.23
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$7.59
Typical High
$7.59
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$5.25
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$4.79
United
Setting
Facility
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$11.22
United
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$4.79
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$6.31