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Indiana rates for HCPCS J7188

Injection Factor Viii (Antihemophilic Factor Recombinant) (Obizur) Per I.U. (Reinstated 01/01/2016) Injection Von Willebrand Factor Complex Human Iu (Del 12/31/06)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $7.73 / $14.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.26 / $3.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.23 / $6.46 / $8.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.74 / $3.23 / $4.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.23 / $3.55 / $4.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $3.55 / $3.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.23 / $3.23 / $3.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.21 / $3.23 / $8.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.23 / $4.01