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Texas 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
$4.46 / $7.20 / $9.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $4.51 / $6.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.21 / $4.46 / $4.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $4.46 / $4.46
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $85.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.51 / $6.38 / $6.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $4.46 / $8.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.21 / $4.46 / $6.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.46 / $7.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $4.46 / $4.46
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $4.38 / $6.02