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Unclassified Hemophilia Clotting Factor

California rates for HCPCS J7199

Hemophilia clotting factor, not otherwise classified

Rates data updated July 2026.

How much does Unclassified Hemophilia Clotting Factor cost?

$240

Typical physician fee. In California, July 2026.

Insurers have agreed to pay about $240 for this service. Most negotiated rates run $191 to $251.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $33,113 · 10th to 90th $33,113 to $35,481Professionalmedian $240 · 10th to 90th $1 to $251
$10$100$1K$10Kfacility $33,113professional $240

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.32
Median
$239.88
Typical High
$251.19
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$33,113.11
Median
$33,113.11
Typical High
$35,481.34
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43

Where California sits

The same service costs 1659586.9 times more in North Carolina than in Ohio. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

California· 6th of 36

$240

NC $33,113OH $0.02

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.