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Louisiana rates for HCPCS J7205

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.42 / $2.50 / $5.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.45 / $2.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.06 / $1.87 / $2.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.25 / $2.29
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.43 / $2.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.43 / $3.22