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North Carolina rates for HCPCS J7201

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

Facilitymedian $4 · 10th–90th $3–$70%10%20%10th90th$4Professionalmedian $3 · 10th–90th $3–$60%50%90th$3$2.0$5.0$10.0$20.0$50.0$100.0

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
$3.24 / $3.98 / $6.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $6.31
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $5.13 / $7.41
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $2.88 / $3.39
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $5.75 / $8.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $4.07
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $3.63 / $4.27
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $5.89 / $6.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.63 / $5.01
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $100.00