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California rates for HCPCS J7201

Injection, Factor IX, Fc fusion protein, (recombinant), Alprolix, 1 IU

Facilitymedian $5 · 10th–90th $4$100%10%10th90th$5Professionalmedian $4 · 10th–90th $3$90%20%40%10th90th$4$2.0$5.0$10.0$20.0$50.0$100.0$200.0

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
$5.37 / $7.41 / $9.77
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $8.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $4.47 / $10.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.63 / $9.12
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $4.57 / $7.24
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $4.68 / $10.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.72 / $6.17 / $8.32
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $3.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $3.98 / $8.32
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $100.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $3.55
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $5.50 / $8.91
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $5.62
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $5.75
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $3.24 / $3.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $10.72 / $10.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $8.91