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Nebraska 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 / $3.63 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.63 / $8.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.05 / $3.87 / $4.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.87 / $4.03 / $4.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.60 / $4.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $3.63 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $3.63 / $3.99
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.65 / $5.37 / $7.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.60 / $4.25 / $8.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.23 / $4.33 / $9.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.41 / $3.59 / $3.95