go back

Mississippi 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
$26.73 / $30.55 / $36.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $25.46 / $34.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.88 / $24.88 / $27.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.50 / $25.46 / $25.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $25.46 / $25.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $25.46 / $32.59