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Illinois 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 / $2.27 / $3.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.34 / $1.40 / $1.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.40 / $3.50 / $15.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.40 / $1.40 / $1.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.40 / $1.40
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.95 / $3.60
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.40 / $1.78