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Pennsylvania rates for HCPCS J7209

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

Facilitymedian $2 · 10th–90th $1–$30%10%20%10th90th$2Professionalmedian $1 · 10th–90th $1–$20%50%90th$1$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
$1.12 / $2.63 / $3.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.40
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.05 / $1.23 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.17 / $1.17 / $1.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.17 / $4.17 / $4.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.17 / $1.17 / $1.17
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.17 / $1.17 / $1.17
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $2.04 / $2.04
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.78 / $2.95
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.23 / $1.32 / $1.74
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $1.32 / $1.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.17 / $1.17 / $1.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.12 / $1.95