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Pennsylvania 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 / $12.50 / $16.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.37 / $11.63
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $5.77 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.52 / $5.52 / $5.52
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
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.40 / $9.13 / $16.23
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.40 / $16.23
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.32 / $5.32
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $5.32
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.76 / $4.76 / $5.54
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.76 / $5.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $7.35