go back

Washington rates for HCPCS J7170

Injection, emicizumab-kxwh, 0.5 mg

Facilitymedian $81 · 10th–90th $56$1170%20%10th90th$81Professionalmedian $58 · 10th–90th $56$620%50%10th90th$58$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
$57.54 / $97.72 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $57.54 / $61.66
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $70.79 / $162.18
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $67.61
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $70.79 / $117.49
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $60.26 / $165.96
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $61.66
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $66.07 / $162.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $56.23 / $56.23
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $56.23 / $72.44