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North Carolina rates for HCPCS J7193

Factor IX (antihemophilic factor, purified, nonrecombinant) per IU

Facilitymedian $2 · 10th–90th $1–$30%10%20%10th90th$2Professionalmedian $1 · 10th–90th $1–$20%50%90th$1$1.0$2.0$5.0$10.0$20.0$50.0$100.0

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 / $1.78 / $2.24
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.24
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.29 / $2.24 / $2.82
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $1.07 / $1.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.55 / $2.19 / $3.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.38 / $1.38 / $1.55
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.23 / $1.38 / $1.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.38 / $2.29 / $2.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.38 / $1.38 / $1.91
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00