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Maine 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
$7.49 / $7.49 / $8.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $3.91 / $3.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.13 / $3.92 / $10.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.23 / $3.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.23 / $3.23 / $3.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.23 / $3.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.23 / $3.91
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.49 / $7.49 / $8.08
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $3.91 / $8.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.23 / $4.68