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North Carolina rates for HCPCS J2791

Rhophylac Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.72 / $141.04 / $467.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $7.25 / $137.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.16 / $7.93 / $10.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.20 / $5.20 / $5.39
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 / $12.37
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.94 / $5.78 / $13.61
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.22 / $5.22 / $5.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $6.42
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00