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Oklahoma 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 / $3.92 / $6.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.88 / $3.88 / $3.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $4.51 / $7.16
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
$3.11 / $3.92 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $3.63 / $3.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.86 / $5.86 / $5.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.59 / $3.59