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California rates for HCPCS J7202

Injection, Factor IX, albumin fusion protein, (recombinant), Idelvion, 1 IU

Facilitymedian $7 · 10th–90th $6$130%20%10th90th$7Professionalmedian $5 · 10th–90th $5$120%50%10th90th$5$5.0$20.0$100.0$500.0$2.0K

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
$7.94 / $10.96 / $14.45
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $12.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $6.46 / $12.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $17.78
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $6.61 / $10.00
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $6.92 / $14.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $9.12 / $12.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $5.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $5.89 / $12.02
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $5.25 / $5.25
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $8.13 / $13.18
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $6.46
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.79 / $5.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $15.14 / $15.14
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $13.18