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Connecticut rates for HCPCS J2791

Rhophylac Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.05 / $13.58 / $197.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $5.05 / $5.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.52 / $8.14 / $15.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $4.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.86 / $4.86 / $4.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $4.86
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.04 / $5.04 / $6.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $4.86 / $11.95