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Massachusetts rates for HCPCS J7205

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

Facilitymedian $3 · 10th–90th $2–$60%20%10th90th$3Professionalmedian $2 · 10th–90th $2–$40%50%10th90th$2$1.0$10.0$100.0$1.0K$10.0K

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 / $3.89 / $6.46
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.95
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.14 / $6.17 / $8.13
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $2.45 / $3.02
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.45 / $2.45 / $4.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $5.25 / $10.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $2.45 / $3.16
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.45 / $3.55 / $6,918.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $2.40 / $3.98
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.14 / $6.17 / $8.13
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $2.45 / $3.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $2.45 / $5.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $2.45 / $2.82