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Indiana 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 / $8.61 / $16.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.63 / $3.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.59 / $7.18 / $9.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.05 / $3.59 / $5.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.59 / $3.95 / $5.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.95 / $3.95 / $3.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.59 / $3.59 / $3.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.37 / $3.59 / $9.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.86 / $7.10 / $7.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $4.80