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West Virginia rates for HCPCS J2791

Injection, Rho D immune globulin (human), (Rhophylac), intramuscular or intravenous, 100 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $338.84 / $724.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $9.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.57 / $4.79 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $20.42 / $20.42
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $23.99 / $30.20
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $5.62 / $5.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $4.79 / $11.48