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Maine rates for HCPCS J7195

Injection, Factor IX (antihemophilic factor, recombinant) per IU, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $4.57 / $4.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $2.14 / $5.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $1.82 / $2.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $1.58 / $1.91
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $4.27 / $4.57
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.86 / $4.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.82 / $2.63