go back

Massachusetts 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 / $3.59 / $7.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.74 / $4.36
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.36 / $9.61 / $85.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $4.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.85 / $4.58 / $9.76
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.70 / $53.00 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $3.36 / $6.98
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $85.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $5.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $4.42