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California rates for HCPCS J7203

Injection Factor IX, (antihemophilic factor, recombinant), glycoPEGylated, (Rebinyn), 1 IU

Facilitymedian $6 · 10th–90th $5$110%10%10th90th$6Professionalmedian $5 · 10th–90th $4$110%20%40%10th90th$5$5.0$10.0$20.0$50.0$100.0$200.0

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
$6.76 / $9.55 / $12.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $10.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $5.50 / $10.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.57 / $12.30
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $6.03 / $9.12
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $5.89 / $13.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $7.76 / $10.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $4.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $5.01 / $10.23
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $85.11 / $85.11
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $6.76 / $11.22
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $5.50
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $4.07 / $4.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $13.49 / $13.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $4.57 / $11.75