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Kansas 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
$3.70 / $5.03 / $15.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.67 / $5.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.62 / $4.15 / $4.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.71 / $3.71 / $3.71
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.53 / $4.24 / $5.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $3.63 / $4.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.33 / $4.33 / $4.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $4.67