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Illinois rates for HCPCS J7195

Injection Factor Ix (Antihemophilic Factor Recombinant) Per Iu Not Otherwise Specified (Revised 11/12/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.85 / $2.78 / $4.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.88 / $2.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.50 / $4.16 / $20.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.85 / $1.85 / $1.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $1.85
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $2.09 / $4.05
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.41 / $2.41 / $2.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $1.96