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California rates for HCPCS J7191

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.83 / $3.91 / $4.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.83 / $3.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.60 / $2.00 / $2.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $1.87 / $225.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $17.14 / $25.08
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.90 / $1.90 / $4.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $393.93 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.92 / $2.62 / $4.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $3.82