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Illinois rates for HCPCS J7205

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

Facilitymedian $4 · 10th–90th $2$70%10%20%10th90th$4Professionalmedian $2 · 10th–90th $2$30%50%90th$2$1.0$5.0$20.0$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
$2.45 / $4.17 / $6.46
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $3.24
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $11.75 / $34.67
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.47 / $4.57 / $5.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $2.45 / $2.45
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $3.02 / $5.89
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $3.16 / $3.16
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.45 / $2.45 / $3.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.45 / $2.63