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California 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 / $7.26 / $8.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.63 / $8.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.66 / $5.73 / $13.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.63 / $8.55
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.97 / $4.50 / $8.15
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.66 / $3.66 / $10.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $3.39 / $3.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $3.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $4.30 / $8.14
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $3.59 / $5.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $7.77
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $5.78 / $5.78
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $3.23 / $3.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $7.38