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North Dakota 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 / $2.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $1.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.83 / $1.84 / $1.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.56 / $1.84 / $1.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.65 / $1.67 / $2.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.57 / $1.61 / $2.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $1.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.69 / $1.84