go back

Utah 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
$5.18 / $5.18 / $5.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.18 / $5.18 / $5.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.15 / $6.17 / $6.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $4.46 / $4.46
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.80 / $9.11 / $13.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $4.46 / $4.46