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Nebraska 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 / $1.69 / $3.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.69 / $3.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.43 / $1.81 / $1.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.81 / $1.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.65 / $1.69 / $2.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.49 / $2.98 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $1.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $1.96 / $3.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.56 / $1.90 / $3.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.69 / $1.86