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Virginia 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 / $6.13 / $12.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.59 / $5.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.32 / $11.23 / $18.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $5.32
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $7.87 / $11.88
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $6.38 / $6.65
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.32 / $5.32 / $7.71
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.05 / $5.33 / $6.81
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $5.33 / $6.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.23 / $5.32 / $6.65