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Mississippi 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
$3.77 / $4.30 / $4.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.77 / $4.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.59 / $3.59 / $4.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.10 / $3.59 / $3.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $3.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.76 / $3.76 / $3.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.59 / $4.59