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Kentucky rates for HCPCS J7170

Injection, emicizumab-kxwh, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.10 / $56.10 / $95.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $56.10 / $57.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.52 / $66.16 / $112.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.68 / $56.10 / $56.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.10 / $60.80 / $91.89
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $58.91 / $78.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.10 / $56.10 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.35 / $56.10 / $99.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.06 / $56.06 / $56.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $56.10 / $56.10