go back

Oklahoma rates for HCPCS J2791

Rhophylac Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.24 / $136.94 / $395.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $5.24 / $6.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.73 / $9.02 / $14.32
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 / $5.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $5.63 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.97 / $4.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $4.86