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Montana rates for HCPCS J7205

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $6.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.63 / $2.63 / $6.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.45 / $2.63
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $2.34 / $6.61
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.34 / $6.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.63 / $2.63 / $6.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $3.47 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.45 / $2.45