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Wisconsin rates for HCPCS J2791

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

Facilitymedian $214 · 10th–90th $5$4570%10%20%10th90th$214Professionalmedian $8 · 10th–90th $4$1860%10%10th90th$8$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
$5.01 / $316.23 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $16.98 / $218.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $6.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $6.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $11.75 / $17.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $6.17 / $8.91
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $4.90 / $8.91
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $9.77 / $9.77
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $5.01 / $15.49
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $9.77
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $10.47
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $6.61 / $15.14
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $4.79
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.61 / $8.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $11.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $6.76