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Connecticut 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
$26.48 / $49.06 / $624.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.48 / $26.48 / $26.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.46 / $38.70 / $80.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $25.46 / $25.46
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
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.42 / $26.42 / $31.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $25.46 / $40.31