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Wyoming 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
$3.63 / $3.63 / $3.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $3.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.97 / $4.67 / $4.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $3.39 / $3.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $5.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.10 / $7.10 / $7.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.59 / $3.59