go back

Indiana rates for HCPCS J7177

Injection, human fibrinogen concentrate (Fibryga), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.22 / $2.66 / $5.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.24 / $1.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $2.46 / $3.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.23 / $1.74
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.35 / $1.85
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.35 / $1.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $3.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.53