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Massachusetts rates for HCPCS J7195

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

Facilitymedian $2 · 10th–90th $1–$50%20%10th90th$2Professionalmedian $2 · 10th–90th $1–$30%20%40%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
$1.00 / $2.82 / $5.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.82
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.62 / $4.57 / $6.17
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $2.24
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $3.63
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.40 / $3.89 / $7.94
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $2.29
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $2.69 / $6,918.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.55 / $1.55 / $2.57
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.62 / $4.57 / $6.17
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $2.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $1.86 / $3.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.55 / $1.82 / $1.95