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Tennessee rates for HCPCS J2791

Rhophylac Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.97 / $136.08 / $1,664.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $6.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.01 / $12.01 / $12.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.86 / $4.86 / $4.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $4.86
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $11.04