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Missouri rates for HCPCS J2791

Rhophylac Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.97 / $111.15 / $198.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $6.01 / $97.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.30 / $8.26 / $12.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $6.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.58 / $4.58 / $4.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $4.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.97 / $12.47 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.22 / $4.97 / $5.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.86 / $5.94