go back

Oklahoma 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
$27.49 / $33.22 / $424.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.49 / $27.49 / $27.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.29 / $20.63 / $32.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.02 / $24.02 / $25.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.02 / $25.46 / $25.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.84 / $30.77 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $32.33 / $34.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.64 / $25.46 / $28.52