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Indiana rates for HCPCS J7207

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

Facilitymedian $3 · 10th–90th $2–$60%20%10th90th$3Professionalmedian $2 · 10th–90th $2–$30%50%90th$2$1.0$2.0$5.0$10.0

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 / $5.01 / $9.77
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $3.24 / $4.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.14 / $4.17
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.09 / $3.16 / $4.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $5.89 / $5.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.14 / $2.75
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.14 / $4.17 / $4.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.14 / $4.37