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Arizona rates for HCPCS J7202

Injection, Factor IX, albumin fusion protein, (recombinant), Idelvion, 1 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.69 / $10.64 / $15.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.85 / $6.46 / $11.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $18.75 / $29.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $5.01 / $33.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.32 / $5.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $5.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.34 / $7.06 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.34 / $5.34 / $5.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $5.32