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Idaho 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 / $4.58 / $5.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $4.91 / $5.58
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.91 / $5.91 / $7.98
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $4.46 / $5.58
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.74 / $6.77 / $11.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $4.46 / $4.46