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Kentucky rates for HCPCS J2791

Rhophylac Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.86 / $4.97 / $510.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $6.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $5.73 / $5.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.86 / $4.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.86 / $5.26 / $7.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $5.35 / $7.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.86 / $4.86 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.86 / $13.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $4.97