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Washington 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 / $1.87 / $4.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.87 / $1.87
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $2.20 / $3.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $1.87 / $79,999.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.23