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California rates for HCPCS J7177

Injection, human fibrinogen concentrate (Fibryga), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $2.57 / $3.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.48 / $2.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.26 / $3.09
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.32 / $2.51
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.58 / $3.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $1.15 / $1.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.35 / $3.02
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $85.11 / $85.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.86 / $3.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.51
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.91 / $1.91 / $1.91
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.35 / $2.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $3.72 / $3.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $2.57