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Wisconsin rates for HCPCS J7195

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

Facilitymedian $3 · 10th–90th $2–$50%20%10th90th$3Professionalmedian $2 · 10th–90th $1–$30%20%40%10th90th$2$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
$1.91 / $2.75 / $5.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $3.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $4.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $2.34
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.45 / $4.47 / $6.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $2.34 / $3.39
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.07 / $1.86 / $1.86
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $3.72 / $3.72
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.07 / $1.86 / $1.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $1.86 / $3.02
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $1.86 / $1.86
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $2.24 / $6.46
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $1.82
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $2.45 / $3.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $1.86 / $4.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $2.51