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Tennessee 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 / $4.72 / $7.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $4.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.49 / $4.49 / $4.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.59 / $3.59 / $6.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $3.59
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.55 / $4.33 / $7.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $3.97