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Maryland rates for HCPCS J2791

Rhophylac Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.06 / $224.53 / $444.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.90 / $6.36
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $4.84 / $4.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $6.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $11.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $5.15
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $4.88 / $4.88