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Iowa 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
$30.08 / $30.08 / $67.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $30.08 / $95.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $34.79 / $41.39
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.91 / $25.46 / $46.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.00 / $30.77 / $45.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.53 / $34.46 / $49.29
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.63 / $49.29 / $69.22
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.76 / $37.46 / $49.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $28.52 / $28.52
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.77 / $30.77 / $30.77
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.77 / $30.77 / $30.77