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Washington rates for HCPCS J7201

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

Facilitymedian $5 · 10th–90th $4–$90%10%20%10th90th$5Professionalmedian $3 · 10th–90th $3–$40%50%90th$3$2.0$5.0$10.0

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 / $6.17 / $8.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $6.17
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.09 / $5.37 / $10.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $4.68 / $15.85
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $4.37
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $7.41
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $4.07 / $9.77
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $3.89
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $4.90 / $10.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $3.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.63 / $3.63
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.63 / $4.68