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North Carolina rates for HCPCS J7203

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

Facilitymedian $5 · 10th–90th $4–$80%20%10th90th$5Professionalmedian $4 · 10th–90th $4–$80%50%90th$4$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
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $5.37 / $8.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $8.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $12.59
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $4.57 / $6.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $7.24 / $10.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $5.13
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $4.57 / $5.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $7.08 / $7.94
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $4.57 / $6.31
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11