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Alaska rates for HCPCS J7201

Injection, Factor IX, Fc fusion protein, (recombinant), Alprolix, 1 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.85 / $6.67 / $23.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.66 / $6.68 / $8.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $3.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $9.55 / $9.55
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $11.56
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.39 / $6.29 / $9.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.39 / $8.98 / $14.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $3.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $5.39 / $7.24