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New York rates for HCPCS J7194

Factor IX complex, per IU

Facilitymedian $2 · 10th–90th $2$40%20%10th90th$2Professionalmedian $2 · 10th–90th $1$30%20%10th90th$2$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
$1.70 / $2.24 / $4.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.70 / $1.70 / $1.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $1.70 / $1.70
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $1.51 / $1.62
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $1.51 / $1.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.58 / $2.24 / $2.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $1.70 / $7.24
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.23 / $1.86 / $4.90
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $1.78 / $2.00
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.70 / $1.70 / $1.78
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $1.70 / $1.78
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.66 / $1.70 / $2.75
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $1.70 / $3.16
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.70 / $1.70 / $2.00
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.93 / $1.70 / $2.04