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New York 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
$2.45 / $3.31 / $6.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $4.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.45 / $2.45 / $2.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $2.45 / $2.45
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.14 / $2.14 / $2.24
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.14 / $2.14
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $3.24 / $3.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $2.45 / $10.23
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $3.02 / $8.32
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.51 / $3.55
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.45 / $2.45 / $2.51
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $2.45 / $2.45
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.09 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $2.45 / $3.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.45 / $4.68
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.45 / $2.45 / $2.82
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $2.45 / $2.95