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Maryland 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 / $1.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.65 / $1.69 / $2.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $1.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $2.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $2.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.63 / $1.69 / $1.79
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.65 / $1.65 / $1.65