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Arizona rates for HCPCS J2791

Rhophylac Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.90 / $99.00 / $402.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $6.55 / $185.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.25 / $16.78 / $27.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.28 / $4.76 / $30.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.71 / $4.86 / $4.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $4.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.99 / $7.81 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $4.97 / $4.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $4.86