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Idaho rates for HCPCS J7193

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.34 / $1.34 / $1.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.34 / $1.54 / $1.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $1.40 / $1.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.40 / $1.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.75 / $2.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.75 / $1.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.38 / $1.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.43 / $2.09 / $3.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.40 / $1.71