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Tennessee 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 / $4.07 / $7.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.23 / $3.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.54 / $3.54 / $3.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.23 / $3.23 / $5.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.23 / $3.23
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $95.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.23 / $3.23