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Vermont rates for HCPCS J7203

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

Facilitymedian $5 · 10th–90th $5–$50%50%100%90th$5Professionalmedian $4 · 10th–90th $4–$80%20%40%10th90th$4$5.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $7.76
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $5.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $4.57 / $4.90