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Virginia rates for HCPCS J2791

Rhophylac Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.09 / $261.63 / $574.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $5.09 / $9.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $4.86
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.51 / $7.41 / $11.18
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 / $4.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $5.83 / $12.99
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.26 / $8.55 / $9.02
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $6.00 / $6.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.62 / $5.88 / $11.75
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.62 / $5.88 / $11.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.71 / $4.86 / $6.10