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Pennsylvania rates for HCPCS J7200

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $4.07 / $5.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.45
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $1.86 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $3.02 / $3.02
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $3.31 / $5.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $4.79
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.74 / $1.95
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.74 / $1.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $2.40