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Indiana 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
$1.87 / $4.44 / $8.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.87 / $1.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.85 / $3.70 / $4.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.85 / $2.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.85 / $2.04 / $2.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.85 / $1.85 / $1.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $1.85 / $5.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $2.29