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Idaho 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
$3.63 / $3.63 / $4.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.95 / $4.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $3.59 / $3.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $3.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.95 / $4.76 / $6.42
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $4.49 / $4.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $3.55 / $3.55
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.75 / $5.36 / $9.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $5.74