go back

South Carolina 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
$1.80 / $1.80 / $7.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $1.87 / $1.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $3.46 / $5.51
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $1.98 / $2.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $1.86