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Nebraska rates for HCPCS J2791

Rhophylac Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.97 / $9.34 / $194.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $118.92 / $180.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.13 / $5.35 / $5.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.21 / $5.45 / $5.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.39 / $5.39 / $5.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.99 / $6.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.98 / $10.82 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.97 / $7.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.74 / $5.87 / $6.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.63 / $5.96 / $12.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.62 / $4.86 / $5.35