go back

Montana rates for HCPCS J7193

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.62 / $3.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.57 / $1.57 / $3.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.40 / $1.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.57 / $1.57 / $3.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.52 / $1.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.40 / $1.40