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Oklahoma 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
$5.34 / $5.77 / $9.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $5.75 / $5.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $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
$4.29 / $5.77 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.18 / $5.34 / $5.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $5.32