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North Carolina rates for HCPCS J7211

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

Facilitymedian $2 · 10th–90th $1–$30%20%40%10th90th$2Professionalmedian $1 · 10th–90th $1–$20%50%90th$1$1.0$2.0$5.0$10.0$20.0$50.0

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
$1.35 / $2.34 / $2.45
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.45
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $2.57 / $3.47
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $1.82 / $1.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.78 / $2.51 / $3.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.55 / $1.55 / $1.78
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.35 / $1.58 / $1.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.55 / $2.45 / $2.75
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $1.58 / $2.45
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11