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Iowa 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
$4.58 / $9.99 / $17.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $4.46 / $10.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.57 / $4.57 / $4.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.43 / $4.43 / $5.53
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.71 / $4.46 / $7.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.57 / $4.97 / $6.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.58 / $4.58 / $6.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.97 / $6.59 / $9.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.49 / $10.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $4.46 / $4.59
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.58 / $4.58 / $4.58
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.58 / $4.58 / $4.58