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Louisiana 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 / $1.71 / $3.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.71 / $1.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $1.23 / $1.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $1.50 / $1.53
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $1.69 / $2.22