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Pennsylvania rates for HCPCS J7188

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.23 / $7.56 / $9.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.26 / $8.36
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.98 / $3.50 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $3.23 / $3.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.23 / $3.23
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $7.56 / $9.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.26 / $9.82
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $3.23 / $3.23
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.23 / $3.23
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.21 / $3.21 / $3.72
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.21 / $3.21 / $3.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.23 / $4.46