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Oregon 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
$3.63 / $4.30 / $7.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.63 / $8.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $5.05 / $7.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $3.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $7.82 / $9.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.59 / $5.13 / $7.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.95 / $4.67
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.59 / $4.13 / $10.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.59 / $5.13 / $10.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.90 / $4.49
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.37 / $5.59 / $12.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $3.59