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Arkansas 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
$4.17 / $4.30 / $4.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $4.30 / $4.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.93 / $3.93 / $3.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.68 / $3.93 / $3.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.38 / $3.59 / $3.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $3.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $3.97