go back

Minnesota 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 / $5.32 / $7.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $11.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.76 / $6.05 / $10.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.26 / $5.34 / $5.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.51 / $16.36 / $19.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.34 / $6.03 / $6.72
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.19 / $14.93 / $18.73
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.29 / $5.29 / $7.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.34 / $5.34 / $9.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.34 / $5.34 / $7.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $9.58