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Virginia 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 / $64.62 / $327.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $25.71 / $26.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.46 / $53.72 / $86.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $25.46 / $25.46
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.12 / $52.49 / $79.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.02 / $24.02 / $25.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $25.46 / $25.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.64 / $30.55 / $43.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.57 / $30.08 / $53.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.00 / $22.00 / $22.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.19 / $30.81 / $42.26
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.19 / $30.81 / $42.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $25.46 / $30.55