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Virginia rates for HCPCS J7207

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

Facilitymedian $4 · 10th–90th $2–$60%20%10th90th$4Professionalmedian $2 · 10th–90th $2–$20%50%90th$2$0.0$0.1$0.5$2.0

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
$2.00 / $4.57 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.14 / $4.27 / $7.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.14 / $3.63
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $3.39 / $5.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $4.07 / $5.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.14 / $2.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $2.14 / $3.16
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.14 / $2.14 / $3.16
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $2.19 / $3.16
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.19 / $3.16
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.09 / $2.57 / $4.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $2.14 / $2.63