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North Carolina rates for HCPCS J7195

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

Facilitymedian $2 · 10th–90th $1–$40%10%20%10th90th$2Professionalmedian $1 · 10th–90th $1–$30%50%90th$1$1.0$2.0$5.0$10.0$20.0$50.0$100.0

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
$1.32 / $1.78 / $3.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $3.09
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.57 / $3.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.09 / $2.95 / $4.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $2.09
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.66 / $1.82 / $2.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $3.02 / $3.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $2.51
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00