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West 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
$1.57 / $1.57 / $1.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.69 / $1.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $2.54 / $2.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.59 / $1.69 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $3.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $1.69 / $2.22