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Iowa rates for HCPCS J7205

Injection, Factor VIII Fc fusion protein (recombinant), per IU

Facilitymedian $2 · 10th–90th $2–$20%50%$2Professionalmedian $2 · 10th–90th $2–$40%50%90th$2$1.0$2.0$5.0$10.0$20.0$50.0$100.0

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
$2.00 / $2.51 / $9.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $4.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.45 / $2.45 / $2.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.57 / $3.16
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $2.69 / $6.17
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.34 / $2.40 / $4.07
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $2.40 / $4.17
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $2.57 / $3.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.45 / $2.45 / $2.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.45 / $2.63
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.45 / $2.45 / $2.45