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California rates for HCPCS J7205

Injection, Factor VIII Fc fusion protein (recombinant), per IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.72 / $5.13 / $6.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $5.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.51 / $3.09 / $7.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.51 / $6.03
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $3.24 / $5.37
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $3.24 / $7.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $2.34 / $2.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.45 / $2.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.69 / $5.62
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $2.34 / $2.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $3.72 / $6.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.45 / $3.47
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $3.89
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.24 / $2.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $7.08 / $7.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.45 / $6.03