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Utah 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
$38.90 / $38.90 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.88 / $38.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $46.77 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $64.57 / $125.89
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $35.48 / $37.15
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $25.70 / $40.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $38.02