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Kansas rates for HCPCS J7177

Injection, human fibrinogen concentrate (Fibryga), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.32 / $5.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.25 / $1.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.38 / $1.65 / $1.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.25 / $1.25 / $1.25
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.21 / $1.32 / $1.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.21 / $1.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.97