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Arizona rates for HCPCS J7203

Injection Factor IX, (antihemophilic factor, recombinant), glycoPEGylated, (Rebinyn), 1 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.76 / $8.92 / $13.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.91 / $5.54 / $10.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.77 / $15.42 / $24.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.05 / $4.43 / $28.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.21 / $4.46 / $4.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $4.46 / $4.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.48 / $6.05 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.58 / $4.58 / $4.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $4.46 / $4.46