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Minnesota rates for HCPCS J2791

Rhophylac Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.86 / $4.86 / $64.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $5.39 / $180.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $6.44 / $12.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $4.97 / $4.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.02 / $15.53 / $18.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.04 / $5.72 / $6.33
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.78 / $14.17 / $17.78
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.99 / $4.99 / $6.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.97 / $11.83 / $23.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $4.97 / $9.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $8.81