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North Carolina rates for HCPCS J7177

Injection, human fibrinogen concentrate (Fibryga), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.40 / $2.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.12 / $1.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $5.80 / $6.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.21
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 / $1.32
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.45 / $1.46
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.25 / $1.25 / $1.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.60
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $85.00