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Arkansas rates for HCPCS J7200

Injection, Factor IX, (antihemophilic factor, recombinant), Rixubis, per IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.81 / $2.02 / $2.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.88 / $2.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $1.70 / $1.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.70 / $1.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.69 / $1.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $1.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $1.89