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Iowa rates for HCPCS J2791

Rhophylac Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.02 / $10.93 / $251.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $9.02 / $180.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.99 / $5.27 / $6.23
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $13.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $6.83 / $9.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $4.97 / $8.65
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.58 / $5.96 / $7.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.58 / $5.96 / $10.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $5.01
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.97 / $4.97 / $4.97
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $4.97 / $4.97