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Maine rates for HCPCS J7202

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

Facilitymedian $13 · 10th–90th $6$130%20%40%10th$13Professionalmedian $5 · 10th–90th $5$60%50%90th$5$5.0$10.0

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
$12.30 / $13.18 / $13.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $6.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $6.17 / $16.98
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
$5.89 / $6.03 / $15.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $5.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $6.46
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $5.37 / $7.76