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Kansas 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 / $31.39 / $135.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $25.97 / $35.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.44 / $39.40 / $362.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.52 / $27.52 / $27.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.02 / $24.02 / $25.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $25.46 / $25.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.84 / $30.77 / $46.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.77 / $30.77 / $41.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $25.46 / $42.93