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Georgia 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 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $66.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $91.20 / $309.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $53.70 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $57.54 / $79.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $102.33 / $144.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $75.86