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Illinois 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 / $44.56 / $103.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $25.46 / $37.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.60 / $92.72 / $391.99
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.61 / $32.96 / $52.48
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.10 / $33.10 / $33.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $28.52 / $31.83