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Vermont 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
Professional
Modifier
Low / Median / High Price
$25.46 / $25.46 / $52.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.82 / $28.82 / $28.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.02 / $36.79 / $61.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $25.46 / $25.46
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.02 / $36.79 / $61.33
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $25.46 / $25.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.19 / $28.52 / $37.24