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Virginia 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 / $1.80 / $3.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.77 / $1.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $3.57 / $5.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $1.69
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $2.52 / $3.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.59 / $1.59 / $1.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $1.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $2.02 / $2.22
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.57 / $1.57 / $2.37
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.61 / $1.78 / $2.16
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.78 / $2.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $1.69 / $2.12