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Iowa 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
$5.34 / $11.64 / $19.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $11.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.05 / $5.05 / $5.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.29 / $5.29 / $6.61
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $5.31 / $8.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.05 / $5.73 / $6.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.34 / $5.34 / $7.81
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.73 / $7.82 / $10.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.16 / $6.22 / $10.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $5.43
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.34 / $5.34 / $5.34
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.34 / $5.34 / $5.34