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North Carolina rates for HCPCS J7205

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

Facilitymedian $3 · 10th–90th $2–$50%20%10th90th$3Professionalmedian $2 · 10th–90th $2–$40%50%90th$2$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
$2.14 / $2.75 / $4.17
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $4.17
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $3.80 / $5.25
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.14 / $2.63
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $3.98 / $5.75
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $2.45 / $2.82
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $2.45 / $2.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.45 / $3.80 / $4.27
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.45 / $3.39
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $100.00