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Massachusetts rates for HCPCS J2791

Rhophylac Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.86 / $146.11 / $258.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $5.05 / $147.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $13.02 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $11.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.21 / $6.20 / $13.22
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.78 / $53.00 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $10.30
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.14 / $8.14 / $8.14
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $11.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $11.04