go back

Montana rates for HCPCS J7185

Injection, Factor VIII (antihemophilic factor, recombinant) (Xyntha), per IU

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.86 / $3.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $1.69 / $3.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $1.67 / $1.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $1.69 / $3.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $1.82 / $2.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $1.67 / $1.67