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Virginia rates for HCPCS J7201

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

Facilitymedian $6 · 10th–90th $3–$100%10%20%10th90th$6Professionalmedian $3 · 10th–90th $3–$40%50%90th$3$0.1$0.2$1.0$5.0

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
$3.02 / $7.59 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $7.08 / $12.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $6.03
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.62 / $8.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $6.76 / $8.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $3.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.63 / $4.79
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $5.62
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $4.37 / $5.25
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $4.37 / $5.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $4.07 / $7.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $3.63 / $4.47