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Michigan 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
$1.90 / $1.93 / $6.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.90 / $2.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.37 / $4.11 / $7.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $1.88 / $1.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.85 / $1.85
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.85 / $2.41 / $5.37
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.90 / $2.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $2.12 / $2.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.85 / $1.85 / $1.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $2.22