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Nebraska 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
$30.08 / $30.77 / $56.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $30.77 / $95.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.62 / $27.38 / $28.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.37 / $28.82 / $34.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $33.11 / $41.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.20 / $30.77 / $181.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.69 / $32.51 / $36.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.33 / $49.29 / $69.22
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.03 / $37.46 / $75.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $28.52 / $28.52