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Idaho 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 / $5.34 / $6.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.85 / $6.65
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.85 / $7.05 / $9.51
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $6.65
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.31 / $7.59 / $12.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $5.32