go back

Washington rates for HCPCS J7202

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.47 / $6.81 / $11.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.85 / $6.46
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.93 / $7.59 / $15.69
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $5.99 / $8.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $12.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $6.52
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.32 / $6.65 / $15.96
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.45 / $7.91 / $13.83
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.11 / $5.65 / $6.46
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.93 / $6.33 / $11.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $6.38