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Pennsylvania rates for HCPCS J7185

Injection, Factor VIII (antihemophilic factor, recombinant) (Xyntha), per IU

Facilitymedian $4 · 10th–90th $1–$50%20%10th90th$4Professionalmedian $1 · 10th–90th $1–$30%50%90th$1$1.0$10.0$100.0$1.0K$10.0K

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
$1.58 / $3.72 / $4.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.57
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.45 / $1.74 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $1.66 / $1.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.48 / $5.25 / $5.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $1.48 / $1.48
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.48 / $1.48 / $1.48
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.57 / $2.57
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $2.29 / $4.17
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.89 / $1.55 / $1.95
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.89 / $1.55 / $1.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.48 / $1.48 / $1.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $1.58 / $2.34