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Georgia 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 / $3.63 / $5.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.63 / $4.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.59 / $5.84 / $13.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.59 / $3.59
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.59 / $3.59 / $7.04
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
$3.00 / $3.14 / $11.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.55 / $6.92 / $6.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $4.67