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Wyoming rates for HCPCS J2791

Rhophylac Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.97 / $162.00 / $418.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $459.88 / $459.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.51 / $12.37 / $12.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.58 / $4.58 / $4.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $6.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $4.86