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Kansas rates for HCPCS J7170

Injection, emicizumab-kxwh, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.58 / $72.54 / $252.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $57.22 / $78.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.18 / $61.00 / $64.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.01 / $58.01 / $58.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.93 / $52.93 / $56.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $56.10 / $56.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.19 / $65.05 / $80.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.98 / $57.43 / $63.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.06 / $56.06 / $56.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $56.10 / $72.11