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Massachusetts rates for HCPCS J7202

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

Facilitymedian $7 · 10th–90th $5–$140%20%40%10th90th$7Professionalmedian $5 · 10th–90th $5–$90%50%10th90th$5$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$5.01 / $8.32 / $13.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $6.31
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $13.18 / $17.78
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $6.61
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $10.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $11.22 / $22.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $6.46
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $7.76 / $6,918.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $8.91
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $13.18 / $17.78
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $6.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $5.37 / $11.22
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $5.89