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California rates for HCPCS J7194

Factor IX complex, per IU

Facilitymedian $2 · 10th–90th $2$40%20%10th90th$2Professionalmedian $2 · 10th–90th $1$40%20%40%10th90th$2$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$2.29 / $3.47 / $4.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $4.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.78 / $2.04 / $3.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $1.70 / $4.07
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.55 / $1.78 / $2.45
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $2.19 / $4.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.78 / $2.95 / $3.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $1.70 / $1.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $1.86 / $3.89
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $1.66 / $1.66
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.70 / $2.57 / $4.07
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $1.70 / $2.34
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $2.63
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $1.51 / $1.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.70 / $5.13 / $5.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $1.70 / $3.80