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Indiana rates for HCPCS J2791

Rhophylac Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.58 / $306.69 / $1,405.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.90 / $201.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.09 / $9.72 / $14.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.86 / $6.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.86 / $4.86 / $7.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $6.08
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 / $13.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $8.26