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Massachusetts 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 / $1.69 / $3.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.76 / $1.88
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.61 / $4.53 / $85.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $2.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.81 / $2.16 / $4.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $1.69 / $1.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $1.69
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $83.43 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.44 / $2.99
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $85.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $2.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $2.37