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Iowa rates for HCPCS J7200

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.57 / $1.57 / $3.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.69 / $3.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $1.67 / $1.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.65 / $1.72 / $2.06
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.69 / $3.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.57 / $1.95 / $2.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $2.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.53 / $1.97 / $3.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $1.90 / $3.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $1.72
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.57 / $1.57 / $1.57
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $1.57