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Texas rates for HCPCS J7205

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

Facilitymedian $4 · 10th–90th $2–$90%20%10th90th$4Professionalmedian $2 · 10th–90th $2–$40%50%90th$2$1.0$5.0$20.0$100.0$500.0$2.0K$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 / $4.68 / $8.51
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
$1.70 / $4.17 / $8.32
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.45 / $5.89 / $16.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $2.45 / $2.45
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.45 / $3.55 / $6.03
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.45 / $4.17
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $2.34 / $2.40
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.45 / $3.55 / $7.76
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $2.45 / $2.45
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 / $2.45