go back

Michigan 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
$4.59 / $4.72 / $14.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $4.59 / $5.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.51 / $9.93 / $18.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.30 / $4.54 / $4.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $4.46 / $4.46
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.46 / $6.08 / $13.13
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $4.59 / $5.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.96 / $5.12 / $5.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $4.46 / $4.73