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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
$2.64 / $2.93 / $5.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.65 / $2.65 / $6.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.43 / $2.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.65 / $2.65 / $6.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.63 / $3.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.43 / $2.43