go back

Maine rates for HCPCS J7190

Factor Viii (Antihemophilic Factor Human) Per I.U. (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.52 / $2.52 / $2.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.37 / $1.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $1.31 / $3.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $1.15
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.52 / $2.52 / $2.73
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.37 / $2.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.09 / $1.75