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Illinois rates for HCPCS J7194

Factor IX complex, per IU

Facilitymedian $3 · 10th–90th $2–$40%10%20%10th90th$3Professionalmedian $1 · 10th–90th $1–$20%50%90th$1$0.5$2.0$10.0$50.0$200.0

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
$1.70 / $2.88 / $4.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.29
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.07 / $3.24 / $18.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.40 / $3.16 / $4.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $1.70 / $1.70
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $1.66 / $2.51
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $2.19 / $2.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.70 / $1.70 / $2.75
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $1.70 / $1.74