go back

Arizona 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
$27.24 / $50.92 / $76.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $33.85 / $95.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.46 / $98.66 / $168.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.48 / $29.78 / $161.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.46 / $25.46 / $25.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $25.46 / $25.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.67 / $37.24 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.77 / $30.77 / $33.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $25.46 / $25.46