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New York 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 / $6.51 / $10.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $7.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.26 / $4.26 / $5.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.93 / $5.32 / $5.32
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.61 / $4.61 / $4.84
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.61 / $4.61 / $4.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.87 / $5.01 / $5.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $5.32
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $7.53 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $5.77 / $7.05
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.32 / $5.32 / $5.52
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $5.52
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.87 / $5.01 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $7.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $7.18
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.52 / $5.52 / $5.52
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $5.52