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California rates for HCPCS J7200

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $3.14 / $3.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.71 / $3.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.59 / $2.70 / $5.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.69 / $3.70
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.89 / $2.11 / $3.75
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $1.72 / $4.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.59 / $1.59 / $1.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $1.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $2.02 / $3.83
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.59 / $1.69 / $2.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $3.66
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.59 / $2.59 / $2.59
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.52 / $1.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $3.60