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Maine rates for HCPCS J7192

Factor Viii Recombinant Nos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.74 / $6,354.74 / $6,488.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $1.86 / $2.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $1.96 / $5.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.61 / $1.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.61 / $1.61 / $1.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.61 / $1.61
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.56
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.74 / $3.74 / $6,354.74
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $1.86 / $4.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.43 / $1.61 / $2.42