go back

Washington, DC rates for HCPCS J2791

Rhophylac Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.86 / $90.21 / $213.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $4.86
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $7.41 / $12.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.58 / $4.58 / $4.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.13 / $4.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.42 / $4.86 / $7.88