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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
$1.58 / $3.67 / $4.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.71 / $3.83
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $1.83 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.75 / $1.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.59 / $1.69 / $1.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $1.69
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $2.67 / $4.76
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.71 / $4.76
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.59 / $1.69 / $1.69
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $1.69
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.63 / $1.63 / $1.89
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.63 / $1.63 / $1.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $2.91