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Washington, DC 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
$5.32 / $15.06 / $20.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $5.32
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $7.87 / $13.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $4.51 / $5.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $5.32 / $8.61