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Iowa 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
$4.67 / $4.67 / $7.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.63 / $8.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.59 / $3.59 / $3.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.60 / $3.60 / $4.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.85 / $3.59 / $7.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.59 / $4.05 / $5.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $3.63 / $5.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.59 / $5.36 / $8.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $4.25 / $8.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.86 / $5.86 / $5.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $3.70
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $3.63 / $3.63
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $3.63 / $3.63