go back

North Dakota rates for HCPCS J2791

Rhophylac Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.86 / $4.86 / $8.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.90 / $6.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.27 / $5.30 / $5.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.48 / $5.29 / $5.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.99 / $4.99 / $6.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $8.44 / $19.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $4.97 / $5.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.86 / $5.28