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Washington rates for HCPCS J7177

Injection, human fibrinogen concentrate (Fibryga), 1 mg

Facilitymedian $2 · 10th–90th $1–$30%10%20%10th90th$2Professionalmedian $1 · 10th–90th $1–$10%50%90th$1$1.0$2.0$5.0

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
$1.23 / $2.14 / $2.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.29
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.10 / $1.45 / $3.39
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.23 / $1.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.62 / $1.62 / $5.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.23 / $1.51
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.10 / $1.23 / $1.82
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.91 / $1.29 / $3.09
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.29 / $1.32
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.10 / $1.45 / $3.39
Regence BlueShield
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
$1.23 / $1.23 / $1.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $1.23 / $1.23
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.23 / $1.62