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Ohio rates for HCPCS J7170

Injection Emicizumab-Kxwh 0.5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.10 / $112.20 / $178.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $57.78 / $130.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.59 / $90.32 / $140.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $56.10 / $97.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.10 / $57.43 / $84.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $57.43 / $75.73
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 / $89.82
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.93 / $54.83 / $56.10
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $56.10 / $89.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.71 / $71.78 / $81.34
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 / $73.04