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Maine rates for HCPCS J7189

Factor Viia (Antihemophilic Factor Recombinant) (Novoseven Rt) 1 Microgram (Desc Rvsd 1/1/21)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $6.65 / $8,910.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.76 / $3.21 / $3.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.57 / $3.23 / $8.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.66 / $2.66 / $2.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $2.22 / $2.69
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $6.17 / $8,910.14
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $3.21 / $6.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.66 / $2.66 / $3.86