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Massachusetts rates for HCPCS J7201

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

Facilitymedian $5 · 10th–90th $3–$100%20%10th90th$5Professionalmedian $3 · 10th–90th $3–$60%20%40%10th90th$3$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$3.02 / $5.62 / $9.77
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $4.47
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $8.91 / $11.75
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.63 / $4.47
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $7.59 / $15.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $4.68
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $5.25 / $6,918.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $3.47 / $5.75
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $8.91 / $11.75
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.63 / $4.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $7.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $3.63 / $4.07