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Maryland 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 / $4.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $4.46 / $5.86
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $4.46 / $4.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $4.46 / $5.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $4.46 / $5.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $4.46 / $4.73
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $4.38 / $4.38