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Washington rates for HCPCS J7202

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

Facilitymedian $8 · 10th–90th $5–$110%20%10th90th$8Professionalmedian $5 · 10th–90th $5–$60%50%90th$5$5.0$10.0$20.0

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 / $9.12 / $10.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $7.08
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $7.59 / $15.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $23.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $6.46
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $6.61 / $10.96
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $5.75 / $13.80
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $5.75
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $6.61 / $15.85
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $5.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.37 / $5.37
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $6.92