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Missouri 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
$26.22 / $40.90 / $46.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $26.22 / $40.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.46 / $27.75 / $91.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $25.46 / $31.83
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
$30.55 / $34.10 / $181.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $30.77 / $36.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $25.46 / $30.25