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Michigan rates for HCPCS J2791

Rhophylac Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $115.17 / $235.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $5.00 / $73.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.99 / $10.80 / $20.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $4.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $6.31
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $15.97 / $235.40
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $5.01 / $15.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.58 / $5.61 / $5.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $5.16