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Illinois 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 / $5.82 / $9.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.63 / $4.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.32 / $18.41 / $65.62
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $4.67 / $7.01
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.67 / $4.67 / $4.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.55 / $5.86 / $5.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $3.97