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Michigan 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
$3.70 / $3.73 / $11.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.70 / $4.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.44 / $8.00 / $15.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.48 / $3.66 / $3.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.59 / $3.59
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.59 / $4.67 / $10.38
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.70 / $4.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.08 / $4.12 / $4.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.55 / $3.55 / $3.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $3.81