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Missouri rates for HCPCS J7202

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

Facilitymedian $7 · 10th–90th $5–$190%20%10th90th$7Professionalmedian $5 · 10th–90th $5–$90%50%10th90th$5$2.0$5.0$10.0$20.0$50.0

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 / $6.61 / $21.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $9.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $5.75 / $18.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $6.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.17 / $9.33 / $11.75
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $5.37
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $6.31 / $85.11
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.37 / $6.17
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $6.31 / $6.92
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $5.37 / $6.46