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New Jersey 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 / $7.53 / $14.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $5.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.32 / $5.58 / $7.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $5.32
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.86 / $19.48 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $5.15 / $5.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.61 / $4.61 / $4.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $6.65