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Alabama rates for HCPCS J7170

Injection, emicizumab-kxwh, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $74.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,884.42 / $40,738.03 / $54,954.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $54.95 / $56.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $56.23 / $56.23