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Indiana rates for HCPCS J7170

Injection, emicizumab-kxwh, 0.5 mg

Facilitymedian $83 · 10th–90th $58–$1580%20%10th90th$83Professionalmedian $56 · 10th–90th $56–$760%50%90th$56$50.0$100.0$200.0

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
$56.23 / $125.89 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $57.54 / $58.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $83.18 / $123.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $107.15
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $61.66 / $100.00
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $61.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $151.36 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $70.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $104.71 / $104.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $112.20