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Montana rates for HCPCS J7188

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.52 / $3.91 / $8.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.68 / $3.68 / $9.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.23 / $3.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.68 / $3.68 / $9.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.50 / $4.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.23 / $3.23