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Texas 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 / $5.61 / $7.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.26 / $4.51
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $95.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.23 / $4.62 / $4.75
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $3.23 / $5.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $3.23 / $4.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.23 / $5.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.23 / $3.23
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $3.23 / $4.36