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Ohio rates for HCPCS J7177

Injection, human fibrinogen concentrate (Fibryga), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $2.67 / $4.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.23 / $3.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $1.98 / $3.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $2.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $2.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.66
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 / $1.76
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $1.15 / $1.23
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.53 / $1.75
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 / $1.33