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North Dakota 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 / $1.76 / $3.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $2.20 / $2.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $1.88 / $2.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.76 / $2.20 / $2.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.86 / $2.02