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Montana rates for HCPCS J7191

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $9.77 / $11.48
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $9.77 / $11.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $79.43 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $1.86