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Massachusetts rates for HCPCS J7203

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

Facilitymedian $6 · 10th–90th $4–$130%20%40%10th90th$6Professionalmedian $4 · 10th–90th $4–$70%50%10th90th$4$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$3.98 / $7.08 / $12.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $5.75
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $11.22 / $14.79
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.57 / $5.62
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $8.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $9.55 / $19.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $5.89
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $6.46 / $6,918.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $7.59
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $11.22 / $14.79
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.57 / $5.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $4.47 / $9.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.57 / $5.50