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Texas rates for HCPCS J7177

Injection, human fibrinogen concentrate (Fibryga), 1 mg

Facilitymedian $2 · 10th–90th $1–$40%10%10th90th$2Professionalmedian $1 · 10th–90th $1–$20%50%90th$1$0.5$1.0$2.0$5.0$10.0$20.0$50.0

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
$1.00 / $2.14 / $2.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.10 / $2.69 / $5.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $3.09 / $8.32
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.23 / $1.23
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $85.11 / $85.11
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.23 / $1.78 / $2.51
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.23 / $2.09
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.12 / $1.20
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.23 / $1.78 / $3.98
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.23 / $1.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.10 / $1.23 / $1.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $1.23 / $1.23