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Indiana rates for HCPCS J2792

Injection, Rho D immune globulin, intravenous, human, solvent detergent, 100 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $69.18 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.88 / $37.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $51.29 / $74.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $66.07
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $38.02 / $51.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $95.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $25.70 / $64.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $38.02 / $40.74