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Utah 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
$2.14 / $2.14 / $2.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.14 / $2.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.16 / $2.56 / $2.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $1.85
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $3.72 / $5.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $1.85 / $1.85