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Arizona 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
$3.84 / $7.18 / $10.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.95 / $4.38 / $8.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.10 / $12.41 / $20.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.41 / $3.51 / $22.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $3.59 / $3.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $3.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $4.79 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $3.63 / $3.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.55 / $3.55 / $5.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $3.59