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Mississippi rates for HCPCS J7170

Injection, emicizumab-kxwh, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.91 / $67.31 / $68.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $58.91 / $75.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.62 / $47.62 / $50.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.10 / $56.10 / $62.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $56.10 / $56.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.06 / $56.10 / $56.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.86 / $56.10 / $71.81