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Montana rates for HCPCS J7203

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

Facilitymedian $5 · 10th–90th $4–$130%50%10th90th$5Professionalmedian $5 · 10th–90th $4–$120%20%40%10th90th$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
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $12.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $12.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $4.90
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $4.79 / $13.49
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.79 / $13.49
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $12.02
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $6.31 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $4.57 / $4.57