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Washington 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
$37.15 / $58.88 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.88 / $50.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $32.36 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $41.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $29.51 / $60.26
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $38.90 / $93.33
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $36.31 / $36.31
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $40.74 / $97.72
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $38.02
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $43.65