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Vermont rates for HCPCS J2791

Rhophylac Injection

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $5.39 / $8.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $5.50 / $5.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.58 / $5.53 / $9.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $4.86
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.58 / $5.53 / $9.22
MVP Health Care
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 / $7.48