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Montana rates for HCPCS J7190

Factor VIII (antihemophilic factor, human) per IU

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.37 / $2.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $1.33 / $3.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $1.33 / $3.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.17 / $1.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.09