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New York rates for HCPCS J7201

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

Facilitymedian $5 · 10th–90th $4$90%20%10th90th$5Professionalmedian $4 · 10th–90th $3$60%20%40%10th90th$4$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
$3.63 / $4.79 / $9.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $6.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $3.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $3.55
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $3.16 / $3.31
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $3.16 / $3.16
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.47 / $4.68 / $5.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $15.14
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $4.37 / $12.30
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $5.13
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $3.80
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $3.72
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $50,118.72 / $75,857.76
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 / $3.80 / $7.59
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $4.27
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.72 / $4.27