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Missouri 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 / $6.08 / $8.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $4.62 / $6.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.46 / $7.58 / $16.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $4.46 / $5.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.21 / $4.21 / $4.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $4.46 / $4.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.58 / $5.58 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $4.58 / $5.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.32 / $4.32 / $4.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.79 / $4.46 / $5.16