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Vermont rates for HCPCS J7195

Injection Factor Ix (Antihemophilic Factor Recombinant) Per Iu Not Otherwise Specified (Revised 11/12/14)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $3.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $2.09 / $2.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $2.09 / $3.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $1.85
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $2.09 / $3.49
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $1.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $1.85 / $2.85