| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.46 | $25.46 | $71.73 | |
Cigna
| Professional | $25.46 | $25.46 | $25.46 | |
United
| Professional | $25.46 | $35.04 | $42.93 |
Injection Rho D Immune Globulin Intravenous Human Solvent Detergent 100 Iu (Special Coverage Instructions Apply. See Mcm: 2049)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.46 | $25.46 | $71.73 | |
Cigna
| Professional | $25.46 | $25.46 | $25.46 | |
United
| Professional | $25.46 | $35.04 | $42.93 |