go back

Minnesota 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 / $25.46 / $56.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $25.46 / $95.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.11 / $34.40 / $68.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.62 / $30.77 / $32.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.76 / $111.44 / $135.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.44 / $41.05 / $42.05
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.86 / $101.70 / $127.63
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $45.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.41 / $30.77 / $69.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.77 / $34.46 / $42.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $28.52 / $49.64