go back

Florida rates for HCPCS J7170

Injection, emicizumab-kxwh, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.10 / $95.33 / $133.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $56.10 / $61.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.93 / $56.10 / $56.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $56.10 / $56.10
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.10 / $56.10 / $56.10
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $57.16 / $57.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.06 / $56.10 / $56.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $56.10 / $72.11
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $56.10 / $57.43