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Ohio 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
$3.59 / $7.79 / $11.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.66 / $8.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.88 / $5.78 / $8.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $6.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.59 / $3.59 / $6.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $4.84
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 / $6.01
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $6.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.94 / $4.53 / $5.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.33 / $4.33 / $4.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $3.88