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Idaho rates for HCPCS J2791

Rhophylac Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.97 / $259.56 / $287.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $5.39 / $6.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.58 / $4.86 / $4.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $4.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.34 / $6.43 / $8.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $6.08
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.23 / $5.23 / $6.41
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.83 / $5.83 / $6.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $7.78