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Pennsylvania 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 / $8.49 / $11.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.63 / $8.52
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.32 / $3.90 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.73 / $3.73 / $3.73
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 / $3.59
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.66 / $6.19 / $11.04
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.66 / $11.04
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $3.59 / $3.59
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $3.59
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.37 / $3.37 / $3.91
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.37 / $3.37 / $3.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $4.68