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Texas rates for HCPCS J7193

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.40 / $2.09 / $3.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.41 / $1.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $2.09 / $3.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $1.95 / $1.95
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $1.34 / $2.02
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.40 / $2.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $1.40 / $2.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.40 / $2.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.40 / $1.40
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.34 / $1.34 / $1.89