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Oklahoma 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
$3.23 / $3.49 / $5.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.49 / $3.49 / $3.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.23 / $3.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.18 / $3.49 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.23 / $3.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.23 / $3.23