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Arkansas rates for HCPCS J2792

Injection Rho D Immune Globulin Intravenous Human Solvent Detergent 100 Iu (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.55 / $30.55 / $42.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $30.55 / $36.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.38 / $33.38 / $33.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.38 / $33.38 / $33.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.02 / $25.46 / $27.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $25.46 / $25.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $25.46 / $37.24