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Illinois rates for HCPCS J7207

Injection, Factor VIII, (antihemophilic factor, recombinant), PEGylated, 1 IU

Facilitymedian $4 · 10th–90th $2–$60%10%20%10th90th$4Professionalmedian $2 · 10th–90th $2–$40%50%90th$2$1.0$5.0$20.0$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 / $3.63 / $5.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.82
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $10.96 / $32.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $5.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.14 / $2.14
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $3.09 / $10.47
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $2.75 / $2.75
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.14 / $2.14 / $3.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $2.14 / $2.29