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Indiana 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
$4.51 / $10.97 / $20.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $4.51 / $4.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.46 / $8.92 / $11.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.79 / $4.46 / $6.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.46 / $4.91 / $6.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.91 / $4.91 / $4.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.46 / $4.46 / $4.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.46 / $12.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $4.46 / $5.58