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Vermont 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
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $6.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $4.01 / $6.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $3.59
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $4.01 / $6.69
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $3.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.41 / $3.59 / $5.52