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Illinois rates for HCPCS J7202

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

Facilitymedian $9 · 10th–90th $5–$150%20%10th90th$9Professionalmedian $5 · 10th–90th $5–$70%50%90th$5$5.0$10.0$20.0$50.0$100.0$200.0

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
$5.37 / $8.91 / $13.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $6.92
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $23.99 / $70.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $10.00 / $12.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $5.37
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $5.37 / $13.18
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $6.92
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $8.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.37 / $5.62