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Massachusetts rates for HCPCS J7194

Factor IX complex, per IU

Facilitymedian $2 · 10th–90th $1–$50%20%10th90th$2Professionalmedian $1 · 10th–90th $1–$20%20%40%10th90th$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
$1.00 / $2.63 / $4.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.29
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.58 / $5.25 / $229.09
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $1.70 / $2.09
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.70 / $1.70 / $3.39
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $3.63 / $7.41
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $1.70 / $2.19
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.70 / $2.45 / $6,918.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $1.26 / $2.14
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.58 / $5.25 / $229.09
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $1.70 / $2.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.66 / $1.70 / $3.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $1.66 / $1.82