go back

West Virginia 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
$4.51 / $4.58 / $4.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $4.46 / $4.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.46 / $6.69 / $6.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.21 / $4.46 / $5.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $4.46 / $8.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $4.46 / $7.14