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North Carolina rates for HCPCS J7170

Injection Emicizumab-Kxwh 0.5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.95 / $61.66 / $94.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $55.67 / $69.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.40 / $123.65 / $142.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.43 / $57.43 / $57.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.10 / $56.10 / $56.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $56.10 / $72.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.95 / $66.76 / $79.79
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.60 / $48.60 / $48.60
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 / $72.93
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $280.50