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Texas 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 / $9.28 / $11.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.37 / $7.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.34 / $11.01 / $21.97
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $85.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.34 / $7.61 / $7.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $5.32 / $9.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.32 / $7.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $5.32 / $9.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $5.32
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.21 / $5.21 / $7.18