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Pennsylvania 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
$1.85 / $4.40 / $5.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.87 / $4.01
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $2.00 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.92 / $1.92 / $1.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $1.85 / $1.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $1.85
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.93 / $5.93 / $5.97
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.89 / $4.40 / $5.72
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.89 / $5.72
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $1.85 / $1.85
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $1.85
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.65 / $1.65 / $1.91
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.65 / $1.65 / $1.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $2.54