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Wisconsin rates for HCPCS J7201

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

Facilitymedian $5 · 10th–90th $4$110%20%10th90th$5Professionalmedian $4 · 10th–90th $3$70%20%40%10th90th$4$2.0$5.0$10.0$20.0$50.0

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
$3.72 / $5.37 / $10.72
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
$4.47 / $4.47 / $7.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $4.57
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $8.91 / $12.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $4.57 / $6.61
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $3.63 / $7.76
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $7.24 / $7.24
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $3.63 / $7.76
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $5.75
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $3.72 / $3.72
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $4.07 / $12.02
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $3.63
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $4.79 / $5.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $8.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $4.90