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Rhode Island 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
$82.75 / $82.75 / $82.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $25.46 / $26.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.77 / $30.77 / $37.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $25.46 / $25.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.02 / $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
$22.30 / $25.46 / $28.52