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Utah rates for HCPCS J7193

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $1.95 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.38 / $1.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $2.34 / $4.90
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.41 / $1.41
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.41 / $1.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.38 / $1.38