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Illinois rates for HCPCS J2791

Rhophylac Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.47 / $146.96 / $565.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $5.05 / $134.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.13 / $18.05 / $62.55
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $7.29 / $37.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.32 / $6.32 / $6.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $6.50