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Washington, DC 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
$25.46 / $86.77 / $116.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $25.46 / $25.46
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $52.49 / $88.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.02 / $24.02 / $25.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.64 / $21.64 / $25.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.21 / $25.46 / $33.06