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Pennsylvania 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
$1.87 / $2.99 / $4.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $1.87 / $1.87
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.78 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $1.78 / $1.78
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $2.81 / $4.63
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $1.87 / $2.81
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.90 / $1.90 / $1.90
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.90 / $1.90 / $1.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.43