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Missouri rates for HCPCS C9141

Injection, Factor Viii, (Antihemophilic Factor, Recombinant), Pegylated-Aucl (Jivi), 1 I.U.

Insurance Carrier
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.97 / $1.97 / $2.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $100.00