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Maryland 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
$3.63 / $3.63 / $3.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $4.65
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $3.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $4.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $4.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $3.81
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.58 / $3.58 / $3.58