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Connecticut 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
$5.53 / $8.34 / $14.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.53 / $5.53 / $5.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.48 / $8.09 / $15.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $5.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.32 / $5.32 / $5.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $5.32
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.52 / $5.77 / $6.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $5.32 / $6.12