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Pennsylvania rates for HCPCS J2792

Injection, Rho D immune globulin, intravenous, human, solvent detergent, 100 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $67.61 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.88 / $50.12
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $37.15 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $35.48 / $35.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $58.88 / $58.88
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $61.66 / $102.33
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.88 / $91.20
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $33.11 / $51.29
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $33.11 / $51.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $38.02 / $46.77