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Illinois 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 / $3.56 / $5.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $1.76 / $1.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.20 / $5.58 / $23.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.01
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $5.61 / $345.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $2.22 / $2.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $1.97