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Maine rates for HCPCS J7193

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $3.25 / $3.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.62 / $1.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $1.70 / $4.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.40 / $1.40
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.36
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $3.25 / $3.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.62 / $3.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.40 / $2.09