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Connecticut 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
$3.74 / $5.63 / $10.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.74 / $3.74 / $3.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.59 / $5.46 / $11.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $3.59
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 / $3.59
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.73 / $3.90 / $4.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.59 / $4.30