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Washington, DC 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
$3.02 / $11.22 / $13.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.63
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.62 / $11.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $3.63 / $3.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $3.09 / $3.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $3.63 / $3.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $3.63 / $5.89