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Idaho 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
$30.77 / $30.77 / $35.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $28.00 / $37.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.02 / $25.46 / $25.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $25.46 / $25.46
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.14 / $31.82 / $45.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $25.46 / $31.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.72 / $50.58 / $85.99
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.55 / $30.55 / $31.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $25.46 / $33.61