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Indiana rates for HCPCS C9139

Injection, Factor IX, albumin fusion protein (recombinant), Idelvion, 1 i.u.

Insurance Carrier
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.16 / $8.16 / $8.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $4.34 / $4.34