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Oklahoma 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 / $4.95 / $8.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.82 / $4.82 / $4.82
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
$4.55 / $4.95 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.32 / $4.58 / $4.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $4.46 / $4.46