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Missouri 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
$3.63 / $4.67 / $4.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.70 / $4.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.59 / $6.10 / $12.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $4.49
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
$3.63 / $4.32 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $3.63 / $4.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.76 / $4.75 / $5.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.05 / $3.59 / $4.38