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New Hampshire rates for HCPCS J2791

Rhophylac Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.97 / $9.94 / $333.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $4.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.81 / $7.29 / $20.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $4.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.58 / $4.86 / $4.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $4.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.60 / $8.09 / $15.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $4.86
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.33 / $11.89 / $17.48