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Missouri 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
$5.43 / $6.65 / $9.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.48 / $6.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.32 / $9.03 / $19.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.34 / $6.22 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.54 / $5.34 / $6.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $5.32 / $6.16