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Georgia rates for HCPCS J7202

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

Facilitymedian $6 · 10th–90th $5–$260%20%40%10th90th$6Professionalmedian $5 · 10th–90th $5–$60%50%90th$5$5.0$10.0$20.0

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
$5.01 / $5.37 / $8.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $6.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $19.50 / $28.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $5.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $9.77 / $14.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $5.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $6.03 / $10.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $10.00 / $14.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.37 / $6.92