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Connecticut rates for HCPCS J2791

Injection, Rho D immune globulin (human), (Rhophylac), intramuscular or intravenous, 100 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $95.50 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $5.01 / $75.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $7.59 / $14.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $6.03
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $144.54 / $144.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $4.79 / $12.30