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North Carolina 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
$4.90 / $5.89 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $5.01 / $7.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $8.71 / $10.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $4.57 / $5.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.37 / $5.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $5.37 / $6.61
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $5.89 / $6.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $8.51 / $9.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $5.37 / $6.92
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11