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Michigan rates for HCPCS J7205

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

Facilitymedian $5 · 10th–90th $3–$80%10%20%10th90th$5Professionalmedian $2 · 10th–90th $2–$30%50%90th$2$2.0$5.0$10.0$20.0

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
$2.51 / $4.90 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $3.98
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $5.50 / $10.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $2.51 / $2.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.14 / $2.45
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $4.90 / $7.94
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.51 / $3.80
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.14 / $2.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $2.45 / $2.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.45 / $2.63