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Alaska rates for HCPCS J2791

Rhophylac Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.38 / $315.00 / $595.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $9.02 / $18.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $4.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.91 / $12.91 / $12.91
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $15.65
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.39 / $16.80 / $26.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.18 / $16.32 / $38.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $5.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $7.29 / $9.80