go back

Maine 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
$4.29 / $4.29 / $4.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.92 / $2.27 / $2.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.79 / $2.25 / $5.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $1.85
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.53 / $1.53 / $1.85
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.29 / $4.29 / $4.63
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.92 / $2.27 / $4.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.85 / $2.78