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Massachusetts 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
$25.46 / $35.39 / $736.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $26.48 / $36.92
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.45 / $68.23 / $181.85
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $25.46 / $37.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.32 / $32.49 / $69.25
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.39 / $61.54 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $25.46 / $52.88
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$855.06 / $855.06 / $5,707.38
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $181.85
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $28.52 / $38.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $28.52 / $43.04