go back

Michigan 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
$5.48 / $5.50 / $17.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.48 / $6.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.58 / $11.85 / $22.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.15 / $5.42 / $5.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $5.32 / $5.32
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.32 / $6.88 / $15.30
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.48 / $6.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.95 / $6.11 / $6.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $5.64