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Maryland 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 / $30.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $25.46 / $39.39
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $25.46 / $30.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $25.46 / $32.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $25.46 / $39.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $25.46 / $28.92
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.86 / $32.86 / $32.86