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Iowa 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
$1.76 / $4.23 / $6.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $1.76 / $1.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $2.34 / $2.34
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $2.73 / $3.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $1.00 / $3.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.32 / $3.32 / $3.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $1.92