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South Carolina 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 / $26.73 / $130.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $26.73 / $34.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.37 / $43.35 / $419.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $38.24 / $47.46
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.40 / $27.40 / $87.22
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.16 / $55.16 / $55.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $25.46 / $28.52