go back

Maine rates for HCPCS J7205

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.64 / $5.64 / $6.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.93 / $2.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.35 / $2.95 / $7.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.43 / $2.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.43 / $2.43 / $2.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.43 / $2.43
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $2.31 / $2.81
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.64 / $5.64 / $6.08
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.93 / $6.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.43 / $3.52