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West Virginia rates for HCPCS J2791

Rhophylac Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.39 / $345.97 / $730.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.90 / $6.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.86 / $7.29 / $7.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.58 / $4.86 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $13.06
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.24 / $25.24 / $30.85
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.48 / $5.48 / $5.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $12.99