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Illinois rates for HCPCS J7201

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

Facilitymedian $6 · 10th–90th $4–$100%10%20%10th90th$6Professionalmedian $3 · 10th–90th $3–$50%50%90th$3$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
$3.63 / $6.03 / $9.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $4.68
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $17.38 / $51.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $6.61 / $8.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $3.55
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $4.90 / $8.71
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $4.68 / $4.68
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $5.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.63 / $3.80