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Texas rates for HCPCS J7191

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.76 / $2.64 / $3.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $1.80 / $2.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.93 / $1.98 / $1.99
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.76 / $2.46 / $2.63
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.65 / $1.65 / $1.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.76 / $1.99 / $2.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.65 / $1.65 / $1.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $1.86
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.50