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Nebraska rates for HCPCS J7202

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

Facilitymedian $8 · 10th–90th $5–$120%20%10th90th$8Professionalmedian $5 · 10th–90th $5–$140%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
$5.37 / $9.55 / $12.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.37 / $13.80
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $6.03 / $6.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $5.89 / $6.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $6.76
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $5.37 / $85.11
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.37 / $5.89
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $6.17 / $6.17
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $5.37 / $10.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.37 / $6.92