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Nebraska rates for HCPCS J7205

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $3.72 / $5.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.45 / $6.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $2.82 / $2.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $2.69 / $2.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.51 / $3.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $2.40 / $85.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.40 / $2.63
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $3.55 / $3.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $2.45 / $4.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.45 / $3.39