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Virginia rates for HCPCS J1324

Injection, enfuvirtide, 1 mg

Facilitymedian $1 · 10th–90th $1$20%20%10th90th$1Professionalmedian $1 · 10th–90th $1$10%50%90th$1$0.5$1.0$2.0$5.0$10.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.35 / $1.48 / $1.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $1.48 / $1.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $1.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $1.35 / $1.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.68 / $0.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.33 / $0.47 / $0.49
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.51 / $0.79 / $23.99
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.63 / $0.68 / $0.98
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.63 / $0.68 / $0.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.72 / $1.32 / $1.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.66 / $0.79