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Maine rates for HCPCS J7200

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.92 / $3.92 / $4.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $1.90 / $1.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $2.04 / $5.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $1.69
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.44 / $1.74
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.92 / $3.92 / $4.23
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $1.90 / $4.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.69 / $2.54