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Tennessee rates for HCPCS J7202

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

Facilitymedian $7 · 10th–90th $5–$110%20%10th90th$7Professionalmedian $5 · 10th–90th $5–$60%50%90th$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 / $6.92 / $9.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.62
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 / $8.13 / $9.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $5.37
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $5.50 / $11.22
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.37 / $5.89