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Vermont rates for HCPCS J7194

Factor IX complex, per IU

Facilitymedian $2 · 10th–90th $2–$20%50%100%90th$2Professionalmedian $1 · 10th–90th $1–$30%20%40%10th90th$1$1.0$2.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.95
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.91 / $1.91 / $1.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.91 / $1.91 / $1.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $1.70 / $1.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.70 / $1.82