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Maine rates for HCPCS J2791

Rhophylac Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.28 / $712.65 / $795.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.04 / $5.39 / $7.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.03 / $15.03 / $15.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $4.86
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $5.89
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.04 / $12.15 / $712.74
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.04 / $5.31 / $8.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $7.29