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Rhode Island rates for HCPCS J2791

Rhophylac Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.80 / $15.80 / $15.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $5.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.97 / $4.97 / $10.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $4.86
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $4.86