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Unclassified Hemophilia Clotting Factor

New York rates for HCPCS J7199

Hemophilia clotting factor, not otherwise classified

Rates data updated July 2026.

How much does Unclassified Hemophilia Clotting Factor cost?

$234

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $234 for this service. Most negotiated rates run $200 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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $50,119Professionalmedian $240 · 10th to 90th $182 to $427
$1$10$100$1K$10Kfacility $1professional $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
$190.55
Median
$239.88
Typical High
$478.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$1.23
Median
$1.23
Typical High
$2.14
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
United
Setting
Professional
Modifier
Global
Typical Low
$1.23
Median
$9.33
Typical High
$60.26

Where New York 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.

New York· 7th of 36

$234

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.