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Louisiana rates for HCPCS J2791

Rhophylac Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $9.94 / $615.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.97 / $6.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $5.49 / $6.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $5.37 / $5.48
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $70.84 / $70.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.58 / $4.58 / $4.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $4.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $10.15