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Washington 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
$3.85 / $6.13 / $7.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.95 / $4.66
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.46 / $5.36 / $11.07
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.78 / $4.11 / $5.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $3.39 / $8.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $4.41
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.59 / $4.49 / $10.77
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.12 / $5.54 / $9.69
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.78 / $4.49
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.46 / $4.46 / $7.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.86 / $5.86 / $5.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $3.59