go back

Oklahoma 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 / $1.44 / $2.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $1.32 / $1.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.90 / $1.40 / $1.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $1.34 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.34 / $1.34 / $1.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.40 / $1.40