go back

North Carolina rates for HCPCS J7202

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

Facilitymedian $6 · 10th–90th $5–$110%20%10th90th$6Professionalmedian $5 · 10th–90th $4–$90%50%10th90th$5$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
$4.90 / $5.89 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.01 / $8.91
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $9.55 / $11.75
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $4.57 / $5.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $8.51 / $12.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $6.03
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $5.37 / $6.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $8.51 / $9.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.37 / $7.41
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11