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Virginia 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
$3.59 / $4.16 / $8.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.77 / $3.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.59 / $7.57 / $12.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $3.59
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $5.56 / $8.39
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.05 / $4.30 / $4.67
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.59 / $3.59 / $5.59
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.41 / $3.74 / $4.59
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.41 / $3.74 / $4.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.55 / $5.86 / $9.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.53 / $3.59 / $4.51