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Montana rates for HCPCS J7192

Factor VIII (antihemophilic factor, recombinant) per IU, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $1.86 / $3.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $1.78 / $4.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.61 / $1.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $1.78 / $4.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.75 / $2.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.61 / $1.61