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Montana rates for HCPCS J7205

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

Facilitymedian $2 · 10th–90th $2–$70%20%40%10th90th$2Professionalmedian $2 · 10th–90th $2–$60%50%90th$2$2.0$5.0$10.0$20.0$50.0

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
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $6.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $6.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $2.45 / $2.63
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $2.34 / $6.61
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $2.34 / $6.61
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $6.31
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $3.47 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $2.45 / $2.45