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Wyoming rates for HCPCS J2791

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

Facilitymedian $81 · 10th–90th $18$4170%20%40%10th90th$81Professionalmedian $13 · 10th–90th $5$4570%20%40%10th90th$13$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
$81.28
Median
$162.18
Typical High
$416.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$457.09
Typical High
$457.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$12.88
Typical High
$12.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$18.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$6.92
Typical High
$6.92
United
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$8.13
Typical High
$10.47
United
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$4.90