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West 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
$5.34 / $5.34 / $5.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $5.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.32 / $7.98 / $7.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.32 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $9.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.46 / $5.32 / $6.65