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Michigan rates for HCPCS J7205

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.51 / $4.90 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $3.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $5.50 / $10.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.51 / $2.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.45 / $2.45
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $6.61 / $7.94
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.45 / $3.39
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.45 / $2.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.45 / $2.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.45 / $2.63