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Indiana rates for HCPCS J7200

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $4.01 / $7.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.71 / $1.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $3.38 / $4.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.43 / $1.69 / $2.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $1.86 / $2.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $1.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $1.69 / $1.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.63 / $1.69 / $4.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $2.10