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Alabama rates for HCPCS J7201

Injection Factor Ix Fc Fusion Protein (Recombinant) Alprolix 1 I.U. (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.59 / $3.59 / $3.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $6.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,863.89 / $8,329.65 / $11,206.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.59 / $3.59 / $3.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $5.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.55 / $3.55 / $4.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.58 / $3.59 / $3.59