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North Carolina 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
$3.23 / $3.97 / $6.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.37 / $3.37 / $4.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.42 / $6.69 / $8.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $2.86 / $3.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $3.59 / $3.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $4.67
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.37 / $4.26 / $5.14
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $2.82 / $2.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.33 / $4.33 / $5.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $4.67
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $100.00