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Maine 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
$8.33 / $8.33 / $8.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.74 / $4.38 / $4.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $4.36 / $11.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $3.59
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $3.36 / $4.07
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.33 / $8.33 / $8.98
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.74 / $4.38 / $8.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $3.59 / $5.21