go back

Maryland 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 / $5.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $6.84
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $5.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $6.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $5.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $5.64
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.21 / $5.21 / $5.21