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Iowa rates for HCPCS J7193

Factor IX (antihemophilic factor, purified, nonrecombinant) per IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.20 / $2.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.40 / $3.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.39 / $1.73
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.40 / $3.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.33 / $1.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.34 / $2.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $1.78 / $2.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.08 / $1.54 / $2.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.40 / $1.44
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.34 / $1.34 / $1.34
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.34 / $1.34 / $1.34