go back

California rates for HCPCS J7195

Injection, Factor IX (antihemophilic factor, recombinant) per IU, not otherwise specified

Facilitymedian $2 · 10th–90th $2$50%20%10th90th$2Professionalmedian $2 · 10th–90th $1$40%20%40%10th90th$2$1.0$10.0$100.0$1.0K$10.0K$100.0K

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
$2.51 / $3.80 / $6.17
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $4.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.91 / $2.29 / $5.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $4.57
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.78 / $2.04 / $3.16
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $2.34 / $5.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.91 / $3.16 / $4.27
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $1.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $2.04 / $4.17
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
$1.82 / $1.82 / $1.82
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $2.82 / $4.57
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $2.82
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $2.75 / $2.75
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $1.66 / $2.04
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $5.13 / $5.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $4.37