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Utah rates for HCPCS J2791

Rhophylac Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.63 / $224.18 / $522.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.63 / $105.83 / $137.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.73 / $6.97 / $7.44
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