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Arizona rates for HCPCS J7191

Factor VIII (antihemophilic factor (porcine)), per IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.35 / $4.40 / $6.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $1.78 / $2.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $1.86 / $1.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.96 / $2.54 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $1.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $1.86