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Washington rates for HCPCS J2791

Rhophylac Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.38 / $12.52 / $168.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $5.39 / $185.89
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.86 / $5.24 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $5.31 / $12.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.58 / $4.58 / $9.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $5.95
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $6.08 / $14.58
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.39 / $9.97 / $9.97
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.80 / $5.64 / $12.01
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.76 / $4.86 / $5.24
Regence BlueShield
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